NPI: 1689102337 · LAKELAND, FL 33805 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 914 | $11K |
| 2020 | 315 | $4K |
| 2021 | 1,640 | $21K |
| 2022 | 5,673 | $71K |
| 2023 | 2,315 | $41K |
| 2024 | 1,438 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,226 | 2,895 | $86K |
| 92014 | 920 | 835 | $48K | |
| 92340 | 2,871 | 2,558 | $16K | |
| 92004 | 251 | 231 | $11K | |
| V2200 | Lens spher bifoc plano 4.00d | 233 | 207 | $6K |
| V2100 | Lens spher single plano 4.00 | 2,838 | 2,525 | $5K |
| 92015 | 1,515 | 1,386 | $4K | |
| V2784 | Lens polycarb or equal | 224 | 193 | $89.76 |
| G8785 | Bp scrn no perf at interval | 28 | 27 | $0.00 |
| 92341 | 108 | 102 | $0.00 | |
| V2750 | Anti-reflective coating | 55 | 51 | $0.00 |
| V2799 | Misc vision item or service | 14 | 14 | $0.00 |
| 92342 | 12 | 12 | $0.00 |