NPI: 1366734527 · WASHINGTON, PA 15301 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 463 | $11K |
| 2020 | 72 | $1K |
| 2021 | 1,266 | $27K |
| 2022 | 872 | $21K |
| 2023 | 620 | $21K |
| 2024 | 2,114 | $86K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,999 | 1,826 | $59K |
| V2100 | Lens spher single plano 4.00 | 1,717 | 1,433 | $55K |
| 92014 | 398 | 390 | $17K | |
| 92340 | 627 | 527 | $13K | |
| 92004 | 201 | 193 | $8K | |
| S0621 | Routine ophthalmological exa | 212 | 212 | $6K |
| S0620 | Routine ophthalmological exa | 113 | 113 | $3K |
| V2784 | Lens polycarb or equal | 93 | 90 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 29 | 28 | $961.32 |
| 92012 | 18 | 18 | $720.00 |