NPI: 1679534911 · BRANDON, FL 33511 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 167 | $1K |
| 2020 | 82 | $1K |
| 2021 | 569 | $9K |
| 2022 | 2,330 | $41K |
| 2023 | 2,550 | $39K |
| 2024 | 1,806 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 627 | 578 | $39K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,032 | 905 | $38K |
| 92014 | 1,030 | 918 | $32K | |
| V2020 | Vision svcs frames purchases | 1,188 | 1,058 | $9K |
| 92015 | 1,736 | 1,573 | $9K | |
| 92340 | 1,486 | 1,302 | $8K | |
| V2100 | Lens spher single plano 4.00 | 42 | 37 | $1K |
| V2784 | Lens polycarb or equal | 64 | 59 | $137.50 |
| V2025 | Eyeglasses delux frames | 285 | 254 | $0.00 |
| V2750 | Anti-reflective coating | 14 | 14 | $0.00 |