NPI: 1477690709 · KEYSTONE HEIGHTS, FL 32656 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,724 | $9K |
| 2020 | 1,731 | $15K |
| 2021 | 935 | $23K |
| 2022 | 2,245 | $58K |
| 2023 | 1,507 | $29K |
| 2024 | 55 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 852 | 821 | $76K | |
| 92004 | 623 | 610 | $46K | |
| V2100 | Lens spher single plano 4.00 | 827 | 777 | $6K |
| V2020 | Vision svcs frames purchases | 1,066 | 1,032 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 186 | 178 | $2K |
| 92340 | 1,002 | 977 | $912.88 | |
| 92015 | 1,155 | 1,126 | $522.65 | |
| V2025 | Eyeglasses delux frames | 417 | 400 | $56.66 |
| G0117 | Glaucoma scrn hgh risk direc | 308 | 308 | $0.00 |
| 2022F | 310 | 308 | $0.00 | |
| V2756 | Eye glass case | 1,052 | 1,028 | $0.00 |
| 3072F | 93 | 93 | $0.00 | |
| 92342 | 282 | 281 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 24 | 12 | $0.00 |