NPI: 1326316415 · HANOVER, PA 17331 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 395 | $10K |
| 2020 | 597 | $18K |
| 2021 | 3,286 | $85K |
| 2022 | 2,768 | $76K |
| 2023 | 4,354 | $142K |
| 2024 | 3,440 | $127K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 5,061 | 3,853 | $199K |
| V2020 | Vision svcs frames purchases | 5,144 | 4,558 | $124K |
| 92014 | 1,341 | 1,313 | $54K | |
| 92004 | 995 | 985 | $40K | |
| 92340 | 928 | 740 | $20K | |
| V2784 | Lens polycarb or equal | 1,051 | 636 | $11K |
| 92012 | 178 | 178 | $7K | |
| V2200 | Lens spher bifoc plano 4.00d | 31 | 25 | $921.64 |
| S0620 | Routine ophthalmological exa | 29 | 29 | $870.00 |
| V2750 | Anti-reflective coating | 82 | 69 | $778.97 |