NPI: 1629213848 · BRONX, NY 10458 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 994 | $48K |
| 2021 | 970 | $46K |
| 2022 | 552 | $16K |
| 2023 | 5,076 | $218K |
| 2024 | 7,727 | $323K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,568 | 3,554 | $232K |
| 92002 | 3,208 | 3,197 | $135K | |
| V2100 | Lens spher single plano 4.00 | 3,382 | 3,372 | $72K |
| 92014 | 779 | 779 | $45K | |
| 92004 | 464 | 464 | $34K | |
| 92083 | 531 | 529 | $30K | |
| 92250 | 511 | 510 | $27K | |
| 68761 | 260 | 130 | $19K | |
| 92012 | 377 | 371 | $16K | |
| 76512 | 252 | 126 | $14K | |
| 92286 | 112 | 112 | $11K | |
| 92285 | 73 | 73 | $4K | |
| V2781 | Progressive lens per lens | 60 | 60 | $3K |
| 92020 | 139 | 139 | $2K | |
| V2299 | Lens bifocal speciality | 60 | 60 | $2K |
| 99214 | 31 | 31 | $1K | |
| 92202 | 62 | 62 | $642.62 | |
| 92060 | 15 | 15 | $623.85 | |
| V2750 | Anti-reflective coating | 96 | 96 | $558.00 |
| 92133 | 15 | 15 | $512.85 | |
| 99213 | 15 | 12 | $459.45 | |
| 92015 | 28 | 28 | $366.00 | |
| 76514 | 32 | 32 | $281.60 | |
| V2784 | Lens polycarb or equal | 46 | 46 | $166.00 |
| V2744 | Tint photochromatic lens/es | 18 | 18 | $0.00 |
| 2022F | 865 | 860 | $0.00 | |
| 68040 | 304 | 150 | $0.00 | |
| 92025 | 16 | 16 | $0.00 |