NPI: 1326235169 · KAPOLEI, HI 96707 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,673 | $56K |
| 2019 | 1,579 | $27K |
| 2020 | 1,082 | $20K |
| 2021 | 1,106 | $32K |
| 2022 | 568 | $14K |
| 2023 | 1,155 | $33K |
| 2024 | 1,056 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,961 | 1,881 | $91K | |
| 92012 | 1,809 | 1,576 | $62K | |
| 92015 | 2,860 | 2,551 | $24K | |
| 92250 | 603 | 567 | $19K | |
| V2020 | Vision svcs frames purchases | 221 | 208 | $11K |
| 92004 | 160 | 156 | $8K | |
| 92340 | 84 | 80 | $2K | |
| V2100 | Lens spher single plano 4.00 | 75 | 67 | $2K |
| 99072 | 64 | 54 | $1K | |
| V2756 | Eye glass case | 367 | 345 | $466.32 |
| V2025 | Eyeglasses delux frames | 15 | 15 | $110.00 |