NPI: 1669490157 · WASHINGTON, PA 15301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 216 | $9K |
| 2021 | 1,249 | $45K |
| 2022 | 1,296 | $49K |
| 2023 | 1,572 | $63K |
| 2024 | 1,322 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,411 | 1,348 | $95K |
| S0621 | Routine ophthalmological exa | 1,714 | 1,647 | $51K |
| S0620 | Routine ophthalmological exa | 1,196 | 1,160 | $36K |
| V2100 | Lens spher single plano 4.00 | 973 | 933 | $29K |
| 92310 | 151 | 137 | $5K | |
| 92004 | 29 | 29 | $1K | |
| 92014 | 26 | 26 | $1K | |
| V2200 | Lens spher bifoc plano 4.00d | 26 | 25 | $804.34 |
| 92015 | 129 | 129 | $499.50 |