NPI: 1366492902 · WILKES BARRE, PA 18711 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $3K |
| 2019 | 15 | $120.00 |
| 2020 | 2,265 | $50K |
| 2021 | 18,404 | $444K |
| 2022 | 20,170 | $484K |
| 2023 | 26,547 | $667K |
| 2024 | 20,496 | $698K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 21,840 | 21,482 | $1.02M | |
| 92004 | 12,002 | 11,797 | $736K | |
| V2784 | Lens polycarb or equal | 7,017 | 3,182 | $212K |
| 92015 | 35,882 | 35,281 | $211K | |
| V2101 | Single visn sphere 4.12-7.00 | 3,914 | 1,769 | $70K |
| 92228 | 1,317 | 1,301 | $28K | |
| V2020 | Vision svcs frames purchases | 3,530 | 3,197 | $25K |
| V2100 | Lens spher single plano 4.00 | 1,306 | 616 | $20K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 354 | 165 | $6K |
| 99213 | 160 | 142 | $5K | |
| 92012 | 174 | 169 | $5K | |
| 92133 | 201 | 194 | $4K | |
| S0621 | Routine ophthalmological exa | 12 | 12 | $3K |
| 92134 | 58 | 56 | $1K | |
| V2201 | Lens sphere bifocal 4.12-7.0 | 48 | 24 | $1K |
| 99214 | 13 | 13 | $670.49 | |
| 92227 | 57 | 57 | $391.36 | |
| 92250 | 12 | 12 | $102.45 | |
| V2799 | Misc vision item or service | 12 | 12 | $0.00 |