NPI: 1326172586 · JACKSON HEIGHTS, NY 11372 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 924 | $45K |
| 2019 | 1,342 | $61K |
| 2020 | 934 | $42K |
| 2021 | 1,370 | $61K |
| 2022 | 1,143 | $55K |
| 2023 | 1,179 | $58K |
| 2024 | 914 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,861 | 1,851 | $116K |
| V2020 | Vision svcs frames purchases | 1,506 | 1,506 | $70K |
| 92340 | 1,869 | 1,868 | $53K | |
| 99214 | 383 | 383 | $36K | |
| 99212 | 873 | 871 | $36K | |
| 99204 | 112 | 112 | $15K | |
| 92201 | 678 | 678 | $13K | |
| V2784 | Lens polycarb or equal | 135 | 123 | $7K |
| 99213 | 93 | 93 | $6K | |
| 92004 | 50 | 50 | $5K | |
| 92014 | 58 | 58 | $5K | |
| 92225 | 99 | 99 | $2K | |
| S0580 | Polycarb lens | 89 | 89 | $1K |