NPI: 1376608380 · ALEXANDRIA, VA 22304 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 416 | $21K |
| 2024 | 1,689 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 611 | 594 | $38K | |
| V2020 | Vision svcs frames purchases | 390 | 383 | $23K |
| V2100 | Lens spher single plano 4.00 | 283 | 273 | $9K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 98 | 84 | $5K |
| V2025 | Eyeglasses delux frames | 148 | 146 | $5K |
| 92015 | 508 | 490 | $2K | |
| V2784 | Lens polycarb or equal | 67 | 65 | $696.63 |