NPI: 1457414286 · BROOKLYN, NY 11215 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,178 | $519K |
| 2019 | 10,632 | $643K |
| 2020 | 337 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,420 | 2,414 | $233K | |
| 92012 | 2,446 | 2,421 | $174K | |
| 68040 | 1,522 | 1,510 | $118K | |
| 92083 | 2,046 | 2,028 | $108K | |
| 76512 | 899 | 842 | $97K | |
| 68761 | 540 | 501 | $91K | |
| 92250 | 1,926 | 1,908 | $89K | |
| 92226 | 2,166 | 1,939 | $76K | |
| 92286 | 1,017 | 1,017 | $40K | |
| 92004 | 315 | 315 | $36K | |
| 92025 | 730 | 729 | $22K | |
| 92100 | 300 | 300 | $20K | |
| 92133 | 482 | 481 | $15K | |
| 92285 | 585 | 582 | $13K | |
| 92134 | 387 | 387 | $13K | |
| 92225 | 343 | 302 | $13K | |
| 92020 | 583 | 581 | $12K | |
| 92015 | 186 | 186 | $3K | |
| V2020 | Vision svcs frames purchases | 64 | 64 | $3K |
| V2100 | Lens spher single plano 4.00 | 41 | 41 | $3K |
| 67820 | 46 | 46 | $2K | |
| 92340 | 23 | 23 | $668.38 | |
| 76514 | 48 | 48 | $577.67 | |
| 92201 | 18 | 18 | $365.58 | |
| 92202 | 14 | 14 | $179.20 |