NPI: 1497136139 · GREENWOOD, SC 29646 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 266 | $8K |
| 2019 | 255 | $9K |
| 2020 | 220 | $5K |
| 2021 | 229 | $6K |
| 2022 | 1,143 | $25K |
| 2023 | 2,581 | $47K |
| 2024 | 2,109 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 724 | 717 | $41K | |
| 92014 | 517 | 507 | $28K | |
| 92340 | 1,070 | 1,049 | $21K | |
| 92015 | 1,708 | 1,689 | $20K | |
| V2100 | Lens spher single plano 4.00 | 736 | 725 | $10K |
| V2020 | Vision svcs frames purchases | 918 | 896 | $9K |
| V2784 | Lens polycarb or equal | 882 | 859 | $4K |
| 92012 | 44 | 42 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 119 | 98 | $1K |
| 92285 | 59 | 54 | $807.12 | |
| 92370 | 14 | 12 | $294.98 | |
| 92081 | 12 | 12 | $251.33 |