NPI: 1518044213 · MANCHESTER, NH 03102 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,391 | $51K |
| 2019 | 2,370 | $112K |
| 2020 | 2,010 | $119K |
| 2021 | 2,324 | $116K |
| 2022 | 2,173 | $118K |
| 2023 | 2,020 | $112K |
| 2024 | 1,669 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,998 | 1,792 | $259K | |
| 99213 | 1,979 | 1,806 | $174K | |
| 92015 | 5,534 | 4,729 | $104K | |
| 99204 | 530 | 465 | $79K | |
| 99203 | 377 | 348 | $42K | |
| 92134 | 1,822 | 997 | $22K | |
| 92340 | 213 | 205 | $21K | |
| 92004 | 113 | 106 | $13K | |
| 92014 | 253 | 169 | $12K | |
| 92060 | 388 | 349 | $7K | |
| V2020 | Vision svcs frames purchases | 244 | 237 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 163 | 77 | $1K |
| V2784 | Lens polycarb or equal | 258 | 251 | $592.50 |
| 92012 | 22 | 13 | $470.85 | |
| V2100 | Lens spher single plano 4.00 | 63 | 43 | $255.00 |