NPI: 1639433006 · HONOLULU, HI 96815 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,551 | $198K |
| 2019 | 6,885 | $145K |
| 2020 | 4,016 | $107K |
| 2021 | 1,351 | $46K |
| 2022 | 1,393 | $44K |
| 2023 | 823 | $26K |
| 2024 | 2,145 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,033 | 2,993 | $136K | |
| 92014 | 3,013 | 2,972 | $134K | |
| V2020 | Vision svcs frames purchases | 5,854 | 5,725 | $132K |
| V2100 | Lens spher single plano 4.00 | 2,662 | 2,586 | $74K |
| 92340 | 4,271 | 4,219 | $73K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,449 | 2,417 | $34K |
| 92015 | 705 | 672 | $13K | |
| V2025 | Eyeglasses delux frames | 600 | 596 | $9K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 305 | 303 | $4K |
| V2200 | Lens spher bifoc plano 4.00d | 73 | 73 | $4K |
| V2784 | Lens polycarb or equal | 1,740 | 1,711 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 121 | 116 | $3K |
| 92060 | 47 | 47 | $3K | |
| V2107 | Spherocylinder 4.25d/12-2d | 196 | 194 | $3K |
| 99213 | 15 | 15 | $1K | |
| V2750 | Anti-reflective coating | 80 | 79 | $0.00 |