NPI: 1548265226 · NEW ROCHELLE, NY 10801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,705 | $93K |
| 2019 | 1,381 | $78K |
| 2020 | 933 | $60K |
| 2021 | 161 | $7K |
| 2022 | 281 | $6K |
| 2023 | 307 | $7K |
| 2024 | 549 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 910 | 906 | $85K | |
| V2020 | Vision svcs frames purchases | 2,689 | 2,666 | $78K |
| 92014 | 588 | 580 | $30K | |
| 92012 | 285 | 279 | $23K | |
| V2100 | Lens spher single plano 4.00 | 975 | 870 | $16K |
| 92250 | 250 | 248 | $12K | |
| S0621 | Routine ophthalmological exa | 58 | 58 | $8K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 296 | 165 | $3K |
| 92083 | 54 | 53 | $3K | |
| V2784 | Lens polycarb or equal | 928 | 638 | $2K |
| 92225 | 105 | 60 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 81 | 72 | $1K |
| S0620 | Routine ophthalmological exa | 23 | 23 | $952.14 |
| V2755 | Uv lens/es | 75 | 38 | $5.00 |