NPI: 1437815461 · KISSIMMEE, FL 34744 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,921 | $33K |
| 2023 | 5,660 | $104K |
| 2024 | 3,422 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,418 | 1,324 | $64K |
| 92014 | 1,752 | 1,673 | $60K | |
| 92004 | 656 | 634 | $40K | |
| 92015 | 2,430 | 2,329 | $16K | |
| V2020 | Vision svcs frames purchases | 1,282 | 1,205 | $16K |
| 92340 | 1,816 | 1,709 | $15K | |
| V2100 | Lens spher single plano 4.00 | 373 | 344 | $13K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 26 | 26 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 25 | 25 | $502.50 |
| V2784 | Lens polycarb or equal | 174 | 172 | $0.00 |
| 92341 | 27 | 27 | $0.00 | |
| V2750 | Anti-reflective coating | 48 | 46 | $0.00 |
| V2025 | Eyeglasses delux frames | 976 | 908 | $-297.00 |