NPI: 1477606366 · HIALEAH, FL 33012 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 295 | $6K |
| 2019 | 2,471 | $45K |
| 2020 | 346 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 374 | 347 | $24K | |
| 92014 | 391 | 375 | $22K | |
| V2020 | Vision svcs frames purchases | 603 | 561 | $5K |
| 92340 | 507 | 473 | $2K | |
| 92341 | 70 | 69 | $587.50 | |
| V2100 | Lens spher single plano 4.00 | 294 | 257 | $322.08 |
| 92015 | 564 | 529 | $238.06 | |
| V2200 | Lens spher bifoc plano 4.00d | 78 | 74 | $90.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 114 | 82 | $47.18 |
| 2019F | 30 | 30 | $0.00 | |
| V2784 | Lens polycarb or equal | 15 | 12 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 17 | 13 | $0.00 |
| G0117 | Glaucoma scrn hgh risk direc | 41 | 41 | $0.00 |
| 2022F | 14 | 14 | $0.00 |