NPI: 1528041167 · CAGUAS, PR 00725 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,505 | $50K |
| 2019 | 2,021 | $50K |
| 2020 | 2,695 | $87K |
| 2021 | 1,092 | $27K |
| 2022 | 115 | $2K |
| 2023 | 684 | $22K |
| 2024 | 1,678 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 2,929 | 2,471 | $121K | |
| 92015 | 3,849 | 3,160 | $70K | |
| V2020 | Vision svcs frames purchases | 478 | 448 | $44K |
| 92250 | 1,078 | 751 | $31K | |
| 92285 | 899 | 582 | $14K | |
| 92012 | 95 | 95 | $2K | |
| V2784 | Lens polycarb or equal | 111 | 97 | $2K |
| V2799 | Misc vision item or service | 24 | 15 | $1K |
| V2100 | Lens spher single plano 4.00 | 87 | 69 | $688.53 |
| V2755 | Uv lens/es | 115 | 95 | $8.93 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 15 | 15 | $0.00 |
| V2702 | Deluxe lens feature | 17 | 17 | $0.00 |
| V2760 | Scratch resistant coating | 93 | 81 | $0.00 |