NPI: 1487850368 · JERSEY CITY, NJ 07306 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,597 | $53K |
| 2019 | 4,900 | $47K |
| 2020 | 3,926 | $35K |
| 2021 | 4,779 | $40K |
| 2022 | 8,918 | $109K |
| 2023 | 9,183 | $120K |
| 2024 | 5,743 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 9,856 | 9,832 | $141K | |
| 92004 | 6,775 | 6,738 | $62K | |
| V2020 | Vision svcs frames purchases | 6,449 | 6,412 | $60K |
| V2100 | Lens spher single plano 4.00 | 4,550 | 4,414 | $47K |
| 92250 | 1,115 | 1,099 | $41K | |
| 92012 | 575 | 572 | $29K | |
| V2784 | Lens polycarb or equal | 2,459 | 2,278 | $28K |
| 92002 | 490 | 485 | $21K | |
| 92015 | 5,376 | 5,353 | $20K | |
| V2200 | Lens spher bifoc plano 4.00d | 1,552 | 1,514 | $19K |
| 92340 | 2,297 | 2,286 | $12K | |
| S0621 | Routine ophthalmological exa | 300 | 300 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 307 | 169 | $0.00 |
| S0620 | Routine ophthalmological exa | 104 | 104 | $0.00 |
| 3072F | 1,841 | 1,824 | $0.00 |