NPI: 1417204801 · MARIETTA, GA 30060 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,005 | $29K |
| 2019 | 789 | $21K |
| 2020 | 3,206 | $79K |
| 2021 | 4,750 | $119K |
| 2022 | 3,734 | $104K |
| 2023 | 3,664 | $110K |
| 2024 | 1,959 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,319 | 1,280 | $88K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,309 | 1,884 | $84K |
| 99213 | 1,503 | 1,452 | $72K | |
| 92015 | 2,760 | 2,683 | $64K | |
| V2020 | Vision svcs frames purchases | 3,267 | 3,087 | $64K |
| 92340 | 2,447 | 2,329 | $42K | |
| 92014 | 898 | 862 | $37K | |
| S0580 | Polycarb lens | 2,401 | 1,148 | $21K |
| 92004 | 264 | 260 | $14K | |
| 92250 | 222 | 220 | $7K | |
| 92310 | 38 | 33 | $6K | |
| 99204 | 52 | 50 | $6K | |
| 92341 | 213 | 205 | $4K | |
| V2784 | Lens polycarb or equal | 174 | 165 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 54 | 43 | $3K |
| 99203 | 28 | 28 | $2K | |
| 68761 | 20 | 12 | $2K | |
| 92136 | 33 | 31 | $1K | |
| V2100 | Lens spher single plano 4.00 | 43 | 27 | $1K |
| 92133 | 38 | 38 | $774.60 | |
| S0621 | Routine ophthalmological exa | 12 | 12 | $564.96 |
| 92083 | 12 | 12 | $407.34 |