NPI: 1508833005 · BROOKLYN, NY 11218 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,847 | $239K |
| 2019 | 5,778 | $169K |
| 2020 | 4,338 | $64K |
| 2021 | 7,077 | $139K |
| 2022 | 3,051 | $59K |
| 2023 | 1,104 | $24K |
| 2024 | 1,928 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2783 | Lens, >= 1.66 p/>=1.80 g | 750 | 747 | $221K |
| 92014 | 2,449 | 2,421 | $133K | |
| 92004 | 1,838 | 1,822 | $115K | |
| V2020 | Vision svcs frames purchases | 5,377 | 5,328 | $57K |
| 92250 | 1,252 | 1,245 | $56K | |
| V2100 | Lens spher single plano 4.00 | 3,677 | 2,300 | $46K |
| 92015 | 3,131 | 3,119 | $28K | |
| 92340 | 1,909 | 1,895 | $26K | |
| V2200 | Lens spher bifoc plano 4.00d | 869 | 518 | $21K |
| 92341 | 458 | 458 | $8K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,203 | 1,037 | $8K |
| 92020 | 474 | 471 | $7K | |
| 92012 | 113 | 111 | $4K | |
| V2784 | Lens polycarb or equal | 1,810 | 952 | $4K |
| S0580 | Polycarb lens | 349 | 345 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 252 | 192 | $3K |
| 92083 | 37 | 37 | $2K | |
| 92202 | 52 | 52 | $1K | |
| 92133 | 12 | 12 | $334.05 | |
| 76514 | 26 | 26 | $209.90 | |
| 2022F | 13 | 13 | $0.00 | |
| V2755 | Uv lens/es | 30 | 15 | $0.00 |
| 2023F | 42 | 42 | $0.00 |