NPI: 1558328245 · MANALAPAN, NJ 07726 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,399 | $44K |
| 2019 | 8,066 | $53K |
| 2020 | 3,959 | $24K |
| 2021 | 602 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 2,205 | 2,198 | $61K | |
| 99213 | 955 | 840 | $31K | |
| 92082 | 1,736 | 1,735 | $29K | |
| 92225 | 67 | 67 | $2K | |
| 92014 | 1,979 | 1,979 | $52.00 | |
| 92004 | 799 | 799 | $26.00 | |
| V2020 | Vision svcs frames purchases | 2,273 | 2,232 | $0.00 |
| V2760 | Scratch resistant coating | 1,992 | 1,048 | $0.00 |
| V2750 | Anti-reflective coating | 313 | 165 | $0.00 |
| S0621 | Routine ophthalmological exa | 206 | 206 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 2,041 | 1,038 | $0.00 |
| V2784 | Lens polycarb or equal | 3,961 | 2,033 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,229 | 635 | $0.00 |
| S0620 | Routine ophthalmological exa | 84 | 84 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 132 | 66 | $0.00 |
| V2744 | Tint photochromatic lens/es | 54 | 27 | $0.00 |