NPI: 1669528642 · MOCA, PR 00676 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 961 | $20K |
| 2019 | 882 | $22K |
| 2020 | 2,704 | $94K |
| 2021 | 4,345 | $167K |
| 2022 | 4,066 | $154K |
| 2023 | 6,003 | $218K |
| 2024 | 1,830 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 3,658 | 3,476 | $175K | |
| 92250 | 4,136 | 3,941 | $118K | |
| 92015 | 5,315 | 5,041 | $105K | |
| 92083 | 1,911 | 1,900 | $90K | |
| V2020 | Vision svcs frames purchases | 1,359 | 1,306 | $88K |
| 92012 | 1,596 | 1,515 | $87K | |
| 92100 | 773 | 765 | $44K | |
| 92081 | 1,153 | 990 | $24K | |
| 92202 | 545 | 540 | $16K | |
| 92225 | 125 | 125 | $4K | |
| V2100 | Lens spher single plano 4.00 | 65 | 62 | $3K |
| 92226 | 13 | 13 | $769.58 | |
| 92285 | 16 | 16 | $212.28 | |
| V2200 | Lens spher bifoc plano 4.00d | 63 | 63 | $0.00 |
| V2744 | Tint photochromatic lens/es | 63 | 63 | $0.00 |