NPI: 1548208713
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,928 | $87K |
| 2019 | 3,169 | $81K |
| 2020 | 466 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,810 | 2,810 | $119K | |
| 92340 | 1,356 | 1,355 | $25K | |
| 92341 | 564 | 563 | $11K | |
| 92015 | 2,284 | 2,282 | $10K | |
| 92133 | 276 | 272 | $6K | |
| 99213 | 136 | 135 | $5K | |
| 76514 | 42 | 42 | $910.00 | |
| 92083 | 38 | 38 | $742.40 | |
| V2020 | Vision svcs frames purchases | 828 | 805 | $496.00 |
| V2100 | Lens spher single plano 4.00 | 310 | 192 | $235.20 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 564 | 330 | $119.00 |
| S0621 | Routine ophthalmological exa | 346 | 346 | $52.80 |
| V2784 | Lens polycarb or equal | 592 | 336 | $40.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 265 | 150 | $27.00 |
| V2599 | Contact lens/es other type | 74 | 74 | $0.00 |
| V2781 | Progressive lens per lens | 61 | 36 | $0.00 |
| V2744 | Tint photochromatic lens/es | 17 | 16 | $0.00 |