NPI: 1649388224 · HONOLULU, HI 96819 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,464 | $38K |
| 2019 | 1,585 | $48K |
| 2020 | 1,442 | $39K |
| 2021 | 1,540 | $47K |
| 2022 | 783 | $5K |
| 2023 | 730 | $6K |
| 2024 | 457 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,176 | 976 | $69K |
| 92004 | 512 | 452 | $25K | |
| 92014 | 596 | 541 | $20K | |
| V2784 | Lens polycarb or equal | 392 | 335 | $20K |
| 92015 | 2,158 | 1,913 | $17K | |
| 92340 | 545 | 501 | $14K | |
| V2100 | Lens spher single plano 4.00 | 440 | 411 | $11K |
| V2200 | Lens spher bifoc plano 4.00d | 81 | 66 | $4K |
| 92341 | 155 | 107 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 50 | 50 | $3K |
| V2756 | Eye glass case | 1,521 | 1,333 | $2K |
| V2025 | Eyeglasses delux frames | 375 | 374 | $0.00 |