NPI: 1619002854 · EAST PROVIDENCE, RI 02914 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,066 | $51K |
| 2019 | 1,710 | $42K |
| 2020 | 1,601 | $38K |
| 2021 | 2,562 | $62K |
| 2022 | 1,153 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,768 | 1,652 | $47K | |
| V2020 | Vision svcs frames purchases | 1,643 | 1,575 | $41K |
| 99214 | 806 | 768 | $39K | |
| 92370 | 2,097 | 1,983 | $24K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 562 | 526 | $21K |
| 92340 | 1,312 | 1,241 | $20K | |
| 99213 | 278 | 262 | $12K | |
| S0580 | Polycarb lens | 293 | 277 | $7K |
| 92014 | 203 | 194 | $7K | |
| 92250 | 25 | 25 | $861.75 | |
| 92341 | 37 | 37 | $728.48 | |
| 92342 | 26 | 26 | $541.60 | |
| 92133 | 23 | 13 | $497.88 | |
| V2756 | Eye glass case | 19 | 18 | $51.68 |