NPI: 1396053237 · ORLANDO, FL 32812 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 308 | $8K |
| 2020 | 400 | $11K |
| 2021 | 776 | $24K |
| 2022 | 2,104 | $51K |
| 2023 | 1,942 | $67K |
| 2024 | 1,308 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 944 | 831 | $122K | |
| 92014 | 428 | 373 | $50K | |
| V2020 | Vision svcs frames purchases | 1,194 | 1,058 | $14K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 323 | 303 | $11K |
| 92015 | 2,102 | 1,825 | $5K | |
| 92340 | 1,303 | 1,137 | $4K | |
| 99214 | 13 | 13 | $1K | |
| 99215 | Prolong outpt/office vis | 12 | 12 | $1K |
| V2102 | Singl visn sphere 7.12-20.00 | 28 | 25 | $298.41 |
| 92083 | 52 | 26 | $275.22 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 214 | 178 | $125.53 |
| V2100 | Lens spher single plano 4.00 | 86 | 83 | $113.72 |
| V2784 | Lens polycarb or equal | 65 | 59 | $32.18 |
| 92250 | 62 | 45 | $0.00 | |
| V2101 | Single visn sphere 4.12-7.00 | 12 | 12 | $0.00 |