NPI: 1700132719 · HARTSVILLE, SC 29550 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,894 | $82K |
| 2019 | 2,730 | $77K |
| 2020 | 2,251 | $63K |
| 2021 | 2,846 | $75K |
| 2022 | 1,797 | $53K |
| 2023 | 636 | $26K |
| 2024 | 333 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,612 | 1,610 | $119K | |
| 92014 | 1,560 | 1,555 | $104K | |
| 92340 | 2,819 | 2,808 | $45K | |
| 92015 | 3,342 | 3,334 | $43K | |
| V2020 | Vision svcs frames purchases | 1,609 | 1,602 | $42K |
| V2199 | Lens single vision not oth c | 377 | 374 | $14K |
| V2784 | Lens polycarb or equal | 1,556 | 1,549 | $13K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 612 | 609 | $8K |