NPI: 1538109590 · PHILADELPHIA, PA 19149 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 68 | $0.00 |
| 2020 | 2,401 | $62K |
| 2021 | 8,293 | $257K |
| 2022 | 7,116 | $220K |
| 2023 | 6,483 | $216K |
| 2024 | 6,050 | $197K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 6,895 | 3,131 | $185K |
| V2020 | Vision svcs frames purchases | 3,854 | 3,455 | $155K |
| 99214 | 3,117 | 2,989 | $152K | |
| 92004 | 3,406 | 3,337 | $145K | |
| 92083 | 1,326 | 1,292 | $84K | |
| 92014 | 1,653 | 1,609 | $71K | |
| 92250 | 1,207 | 1,179 | $63K | |
| V2520 | Contact lens hydrophilic | 618 | 577 | $48K |
| 99213 | 441 | 425 | $15K | |
| 92310 | 220 | 219 | $13K | |
| 92015 | 654 | 634 | $8K | |
| 92132 | 253 | 252 | $7K | |
| 92020 | 79 | 77 | $1K | |
| 92133 | 39 | 39 | $1K | |
| V2784 | Lens polycarb or equal | 6,522 | 2,852 | $1K |
| 76514 | 101 | 99 | $948.11 | |
| V2750 | Anti-reflective coating | 26 | 12 | $490.00 |