NPI: 1598797599 · BERWYN HEIGHTS, MD 20740 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 7,819 | $121K |
| 2021 | 12,659 | $175K |
| 2022 | 5,449 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 5,338 | 5,192 | $96K |
| 92014 | 3,670 | 3,500 | $81K | |
| V2020 | Vision svcs frames purchases | 5,751 | 5,597 | $77K |
| 92004 | 2,292 | 2,206 | $50K | |
| V2784 | Lens polycarb or equal | 4,489 | 4,359 | $37K |
| V2781 | Progressive lens per lens | 419 | 400 | $15K |
| V2299 | Lens bifocal speciality | 443 | 423 | $11K |
| V2200 | Lens spher bifoc plano 4.00d | 45 | 38 | $829.40 |
| V2744 | Tint photochromatic lens/es | 62 | 58 | $0.00 |
| V2755 | Uv lens/es | 14 | 14 | $0.00 |
| V2750 | Anti-reflective coating | 1,575 | 1,475 | $0.00 |
| 92015 | 1,829 | 1,728 | $0.00 |