NPI: 1598920373 · JERSEY CITY, NJ 07307 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,587 | $40K |
| 2019 | 4,859 | $25K |
| 2020 | 2,713 | $13K |
| 2021 | 4,351 | $28K |
| 2022 | 4,650 | $16K |
| 2023 | 3,437 | $0.00 |
| 2024 | 2,773 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,939 | 6,916 | $20K |
| 92014 | 3,100 | 3,092 | $20K | |
| 92012 | 365 | 364 | $19K | |
| V2100 | Lens spher single plano 4.00 | 5,019 | 4,795 | $13K |
| 92002 | 241 | 241 | $11K | |
| 92004 | 3,873 | 3,863 | $11K | |
| V2784 | Lens polycarb or equal | 3,586 | 3,173 | $10K |
| V2200 | Lens spher bifoc plano 4.00d | 1,034 | 990 | $8K |
| 92015 | 4,554 | 4,528 | $6K | |
| V2520 | Contact lens hydrophilic | 25 | 25 | $2K |
| 92340 | 591 | 591 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 551 | 300 | $0.00 |
| S0620 | Routine ophthalmological exa | 58 | 57 | $0.00 |
| 3072F | 231 | 231 | $0.00 | |
| V2599 | Contact lens/es other type | 26 | 26 | $0.00 |
| V2750 | Anti-reflective coating | 88 | 88 | $0.00 |
| S0621 | Routine ophthalmological exa | 75 | 75 | $0.00 |
| V2500 | Contact lens pmma spherical | 14 | 14 | $0.00 |