NPI: 1639583107 · ARLINGTON, VA 22204 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $812.02 |
| 2019 | 393 | $13K |
| 2020 | 1,763 | $80K |
| 2021 | 1,226 | $56K |
| 2022 | 801 | $39K |
| 2024 | 237 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 535 | 492 | $55K | |
| 92083 | 869 | 837 | $42K | |
| 92014 | 407 | 388 | $42K | |
| 92250 | 1,072 | 1,017 | $35K | |
| 92015 | 1,105 | 1,032 | $17K | |
| V2100 | Lens spher single plano 4.00 | 141 | 138 | $3K |
| V2020 | Vision svcs frames purchases | 126 | 123 | $3K |
| 99213 | 17 | 17 | $1K | |
| V2784 | Lens polycarb or equal | 157 | 154 | $913.86 |
| 92134 | 15 | 15 | $524.70 |