NPI: 1699771279 · POTTSVILLE, PA 17901 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 333 | $10K |
| 2021 | 2,865 | $89K |
| 2022 | 3,002 | $97K |
| 2023 | 4,265 | $129K |
| 2024 | 3,588 | $122K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 2,795 | 2,387 | $150K |
| 92014 | 1,876 | 1,850 | $85K | |
| 92004 | 949 | 937 | $55K | |
| V2020 | Vision svcs frames purchases | 2,821 | 2,417 | $39K |
| V2102 | Singl visn sphere 7.12-20.00 | 773 | 698 | $31K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 764 | 621 | $22K |
| 92012 | 485 | 472 | $14K | |
| 92015 | 2,312 | 2,272 | $12K | |
| V2100 | Lens spher single plano 4.00 | 451 | 379 | $12K |
| 99213 | 268 | 261 | $9K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 302 | 237 | $8K |
| 99214 | 118 | 118 | $6K | |
| 92060 | 72 | 72 | $2K | |
| S0621 | Routine ophthalmological exa | 67 | 67 | $2K |