NPI: 1528152774 · PHILADELPHIA, PA 19133 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 770 | $26K |
| 2021 | 5,874 | $212K |
| 2022 | 1,153 | $31K |
| 2023 | 635 | $12K |
| 2024 | 2,538 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,987 | 4,456 | $128K | |
| 92250 | 970 | 941 | $49K | |
| 99203 | 456 | 442 | $22K | |
| V2020 | Vision svcs frames purchases | 436 | 402 | $21K |
| 92273 | 171 | 171 | $17K | |
| 92083 | 232 | 227 | $14K | |
| V2100 | Lens spher single plano 4.00 | 464 | 198 | $13K |
| V2781 | Progressive lens per lens | 240 | 120 | $13K |
| 92133 | 475 | 471 | $12K | |
| 0509T | 208 | 207 | $12K | |
| 92134 | 454 | 445 | $11K | |
| V2299 | Lens bifocal speciality | 240 | 120 | $9K |
| 92082 | 249 | 239 | $9K | |
| V2750 | Anti-reflective coating | 278 | 133 | $8K |
| V2200 | Lens spher bifoc plano 4.00d | 148 | 74 | $6K |
| V2744 | Tint photochromatic lens/es | 156 | 78 | $5K |
| 92283 | 275 | 274 | $3K | |
| 92145 | 210 | 210 | $2K | |
| 68761 | 35 | 16 | $1K | |
| V2784 | Lens polycarb or equal | 244 | 91 | $345.00 |
| 92014 | 24 | 23 | $210.00 | |
| 76514 | 18 | 18 | $127.93 |