NPI: 1649234063 · VESTAL, NY 13852 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,235 | $0.00 |
| 2019 | 1,060 | $0.00 |
| 2020 | 1,339 | $104.00 |
| 2021 | 1,504 | $156.00 |
| 2022 | 1,483 | $156.00 |
| 2023 | 1,839 | $130.00 |
| 2024 | 2,245 | $286.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,709 | 4,696 | $832.00 | |
| S0621 | Routine ophthalmological exa | 114 | 114 | $0.00 |
| V2020 | Vision svcs frames purchases | 613 | 609 | $0.00 |
| V2520 | Contact lens hydrophilic | 119 | 119 | $0.00 |
| V2523 | Cntct lens hydrophil extend | 3,152 | 3,148 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 91 | 53 | $0.00 |
| V2599 | Contact lens/es other type | 753 | 753 | $0.00 |
| 92004 | 479 | 479 | $0.00 | |
| V2784 | Lens polycarb or equal | 264 | 136 | $0.00 |
| V2521 | Cntct lens hydrophilic toric | 99 | 99 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 312 | 154 | $0.00 |