NPI: 1700073749 · SUMMERVILLE, SC 29485 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,615 | $65K |
| 2019 | 2,387 | $85K |
| 2020 | 3,838 | $143K |
| 2021 | 4,369 | $157K |
| 2022 | 4,150 | $145K |
| 2023 | 2,996 | $107K |
| 2024 | 793 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,987 | 3,949 | $266K | |
| 92004 | 2,771 | 2,747 | $209K | |
| 92015 | 8,717 | 8,604 | $105K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,157 | 1,025 | $55K |
| V2020 | Vision svcs frames purchases | 984 | 962 | $33K |
| 92340 | 1,477 | 1,444 | $29K | |
| V2100 | Lens spher single plano 4.00 | 567 | 538 | $16K |
| V2784 | Lens polycarb or equal | 433 | 414 | $8K |
| 92310 | 43 | 42 | $2K | |
| 92012 | 12 | 12 | $523.78 |