NPI: 1669906434 · MIDDLETOWN, DE 19709 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,878 | $45K |
| 2019 | 1,048 | $24K |
| 2020 | 979 | $51K |
| 2021 | 739 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,049 | 990 | $36K |
| S0621 | Routine ophthalmological exa | 413 | 403 | $32K |
| 92015 | 592 | 557 | $15K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 378 | 353 | $14K |
| 99214 | 237 | 217 | $12K | |
| V2100 | Lens spher single plano 4.00 | 219 | 217 | $8K |
| V2784 | Lens polycarb or equal | 209 | 197 | $7K |
| 92370 | 592 | 549 | $7K | |
| S0620 | Routine ophthalmological exa | 93 | 89 | $7K |
| 92340 | 419 | 391 | $6K | |
| S0580 | Polycarb lens | 237 | 215 | $6K |
| 92014 | 81 | 72 | $3K | |
| 99213 | 45 | 41 | $2K | |
| S0500 | Dispos cont lens | 13 | 13 | $2K |
| 92004 | 37 | 37 | $1K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 15 | 13 | $705.38 |
| V2756 | Eye glass case | 15 | 15 | $65.00 |