NPI: 1457723355 · TAMPA, FL 33618 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 50 | $0.00 |
| 2021 | 1,289 | $18K |
| 2022 | 3,839 | $62K |
| 2023 | 5,305 | $95K |
| 2024 | 2,113 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,855 | 1,724 | $56K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,307 | 1,200 | $54K |
| 92004 | 850 | 790 | $49K | |
| V2100 | Lens spher single plano 4.00 | 629 | 567 | $27K |
| V2020 | Vision svcs frames purchases | 2,110 | 1,925 | $18K |
| 92015 | 2,706 | 2,521 | $10K | |
| 92340 | 2,243 | 2,055 | $9K | |
| V2599 | Contact lens/es other type | 12 | 12 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 43 | 38 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 14 | 14 | $958.00 |
| 92341 | 95 | 84 | $0.00 | |
| V2750 | Anti-reflective coating | 72 | 60 | $0.00 |
| V2784 | Lens polycarb or equal | 137 | 133 | $0.00 |
| 92310 | 24 | 24 | $0.00 | |
| V2025 | Eyeglasses delux frames | 499 | 460 | $-124.00 |