NPI: 1417207317 · BENSALEM, PA 19020 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 47 | $1K |
| 2020 | 2,616 | $70K |
| 2021 | 9,677 | $249K |
| 2022 | 8,798 | $254K |
| 2023 | 14,540 | $336K |
| 2024 | 11,577 | $263K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 17,978 | 7,758 | $462K |
| V2020 | Vision svcs frames purchases | 10,139 | 8,174 | $327K |
| 92014 | 3,908 | 3,800 | $165K | |
| 92004 | 3,546 | 3,427 | $149K | |
| V2784 | Lens polycarb or equal | 6,160 | 2,875 | $24K |
| V2750 | Anti-reflective coating | 1,847 | 902 | $20K |
| 92340 | 846 | 748 | $19K | |
| V2755 | Uv lens/es | 1,610 | 649 | $5K |
| 92310 | 55 | 55 | $1K | |
| 92015 | 113 | 112 | $494.30 | |
| 92250 | 1,053 | 1,004 | $0.00 |