NPI: 1326092958 · SILVER SPRING, MD 20903 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12,453 | $294K |
| 2021 | 10,410 | $254K |
| 2022 | 6,297 | $57K |
| 2023 | 28 | $0.00 |
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,736 | 1,685 | $130K | |
| V2020 | Vision svcs frames purchases | 6,219 | 5,890 | $92K |
| 99214 | 833 | 811 | $90K | |
| V2100 | Lens spher single plano 4.00 | 6,933 | 5,646 | $61K |
| 99203 | 498 | 498 | $53K | |
| 92250 | 836 | 834 | $38K | |
| 92014 | 886 | 853 | $29K | |
| 99204 | 158 | 158 | $26K | |
| V2784 | Lens polycarb or equal | 6,230 | 5,018 | $25K |
| 92083 | 316 | 313 | $18K | |
| 92004 | 467 | 447 | $16K | |
| 92012 | 183 | 176 | $7K | |
| V2781 | Progressive lens per lens | 498 | 345 | $5K |
| 92015 | 719 | 660 | $4K | |
| V2200 | Lens spher bifoc plano 4.00d | 249 | 222 | $3K |
| 92340 | 200 | 199 | $2K | |
| 92310 | 28 | 26 | $1K | |
| 76514 | 101 | 101 | $1K | |
| V2520 | Contact lens hydrophilic | 13 | 13 | $951.20 |
| 92020 | 12 | 12 | $252.00 | |
| V2300 | Lens sphere trifocal 4.00d | 13 | 13 | $205.00 |
| V2750 | Anti-reflective coating | 1,877 | 1,472 | $0.00 |
| 99072 | 40 | 40 | $0.00 | |
| V2744 | Tint photochromatic lens/es | 142 | 129 | $0.00 |
| V2799 | Misc vision item or service | 13 | 12 | $0.00 |