NPI: 1386002467 · FLORENCE, SC 29501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,576 | $370K |
| 2019 | 13,792 | $494K |
| 2020 | 9,991 | $359K |
| 2021 | 12,201 | $449K |
| 2022 | 14,517 | $524K |
| 2023 | 25,320 | $952K |
| 2024 | 28,174 | $1.02M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 22,090 | 22,025 | $1.91M | |
| 92014 | 13,836 | 13,800 | $955K | |
| 92015 | 40,615 | 40,476 | $527K | |
| 92340 | 27,406 | 27,264 | $493K | |
| V2020 | Vision svcs frames purchases | 3,643 | 3,635 | $72K |
| 92012 | 1,385 | 1,385 | $68K | |
| V2784 | Lens polycarb or equal | 1,772 | 1,758 | $63K |
| V2100 | Lens spher single plano 4.00 | 2,339 | 2,334 | $40K |
| V2200 | Lens spher bifoc plano 4.00d | 549 | 547 | $11K |
| 99213 | 172 | 165 | $8K | |
| 92002 | 155 | 155 | $7K | |
| 92250 | 231 | 230 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 338 | 333 | $4K |
| 99203 | 16 | 16 | $969.06 | |
| V2025 | Eyeglasses delux frames | 12 | 12 | $819.00 |
| 92083 | 12 | 12 | $379.96 |