NPI: 1518390525 · SPRINGFIELD, PA 19064 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 356 | $9K |
| 2020 | 1,920 | $51K |
| 2021 | 10,096 | $255K |
| 2022 | 6,710 | $179K |
| 2023 | 13,614 | $310K |
| 2024 | 10,974 | $228K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 17,934 | 7,399 | $461K |
| V2020 | Vision svcs frames purchases | 10,003 | 7,569 | $272K |
| 92014 | 3,278 | 3,233 | $135K | |
| 92004 | 2,459 | 2,356 | $101K | |
| V2784 | Lens polycarb or equal | 6,897 | 3,017 | $29K |
| 92340 | 1,057 | 995 | $23K | |
| V2755 | Uv lens/es | 1,604 | 567 | $8K |
| V2750 | Anti-reflective coating | 255 | 115 | $2K |
| 92015 | 123 | 121 | $535.00 | |
| 92250 | 60 | 59 | $0.00 |