NPI: 1477697548 · ORANGEBURG, SC 29115 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,225 | $25K |
| 2019 | 1,772 | $35K |
| 2020 | 1,251 | $23K |
| 2021 | 1,718 | $36K |
| 2022 | 2,679 | $44K |
| 2023 | 2,512 | $45K |
| 2024 | 2,133 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,613 | 1,598 | $84K | |
| 92340 | 2,636 | 2,614 | $51K | |
| 92004 | 607 | 601 | $35K | |
| 92015 | 2,642 | 2,616 | $29K | |
| V2020 | Vision svcs frames purchases | 1,845 | 1,844 | $18K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,237 | 1,237 | $14K |
| V2100 | Lens spher single plano 4.00 | 468 | 467 | $7K |
| V2784 | Lens polycarb or equal | 1,799 | 1,798 | $5K |
| V2760 | Scratch resistant coating | 443 | 442 | $4K |