NPI: 1629218532 · WYOMISSING, PA 19610 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 301 | $7K |
| 2021 | 3,988 | $90K |
| 2022 | 2,254 | $49K |
| 2023 | 3,100 | $58K |
| 2024 | 3,884 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,986 | 2,480 | $54K |
| 92014 | 1,333 | 1,329 | $53K | |
| V2199 | Lens single vision not oth c | 1,618 | 602 | $43K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,257 | 582 | $40K |
| 92004 | 633 | 622 | $25K | |
| V2784 | Lens polycarb or equal | 3,724 | 1,392 | $18K |
| V2100 | Lens spher single plano 4.00 | 413 | 230 | $15K |
| 92012 | 355 | 348 | $14K | |
| V2299 | Lens bifocal speciality | 205 | 104 | $7K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 121 | 54 | $4K |
| 92015 | 587 | 587 | $2K | |
| V2744 | Tint photochromatic lens/es | 172 | 90 | $120.00 |
| V2750 | Anti-reflective coating | 123 | 61 | $40.00 |