NPI: 1518104991 · JACKSONVILLE, FL 32225 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,361 | $93K |
| 2020 | 4,401 | $212K |
| 2021 | 4,453 | $187K |
| 2022 | 5,162 | $188K |
| 2023 | 6,895 | $223K |
| 2024 | 3,365 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,596 | 4,912 | $268K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,510 | 3,319 | $240K |
| 92004 | 968 | 868 | $225K | |
| 92014 | 940 | 873 | $178K | |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 2,782 | 1,802 | $49K |
| V2100 | Lens spher single plano 4.00 | 804 | 679 | $36K |
| 92340 | 6,173 | 4,562 | $34K | |
| 92015 | 2,267 | 2,062 | $8K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 65 | 61 | $7K |
| 92341 | 167 | 144 | $1K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 79 | 72 | $470.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 13 | 12 | $345.00 |
| V2784 | Lens polycarb or equal | 774 | 453 | $45.00 |
| V2755 | Uv lens/es | 499 | 352 | $0.00 |