NPI: 1659656924 · SCRANTON, PA 18508 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 715 | $19K |
| 2021 | 2,710 | $71K |
| 2022 | 1,898 | $50K |
| 2023 | 3,426 | $82K |
| 2024 | 2,184 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 4,539 | 2,116 | $126K |
| V2020 | Vision svcs frames purchases | 2,807 | 2,434 | $61K |
| 92014 | 1,245 | 1,177 | $50K | |
| 92004 | 827 | 794 | $33K | |
| V2784 | Lens polycarb or equal | 1,380 | 679 | $6K |
| V2755 | Uv lens/es | 24 | 12 | $72.00 |
| V2750 | Anti-reflective coating | 111 | 54 | $40.00 |