NPI: 1437447695 · MECHANICSBURG, PA 17050 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 553 | $14K |
| 2020 | 1,188 | $30K |
| 2021 | 4,703 | $135K |
| 2022 | 4,716 | $152K |
| 2023 | 4,987 | $156K |
| 2024 | 4,377 | $160K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 7,056 | 5,177 | $273K |
| V2020 | Vision svcs frames purchases | 6,954 | 6,160 | $187K |
| 92014 | 1,619 | 1,603 | $67K | |
| 92004 | 1,536 | 1,520 | $63K | |
| 92340 | 951 | 820 | $22K | |
| V2784 | Lens polycarb or equal | 1,473 | 882 | $18K |
| 92012 | 285 | 285 | $11K | |
| V2200 | Lens spher bifoc plano 4.00d | 124 | 83 | $4K |
| V2500 | Contact lens pmma spherical | 12 | 12 | $1K |
| V2750 | Anti-reflective coating | 100 | 77 | $958.02 |
| S0621 | Routine ophthalmological exa | 15 | 15 | $450.00 |
| S0620 | Routine ophthalmological exa | 12 | 12 | $360.00 |
| V2799 | Misc vision item or service | 387 | 306 | $0.00 |