NPI: 1700235173 · JACKSONVILLE, FL 32225 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 542 | $3K |
| 2020 | 2,401 | $24K |
| 2021 | 2,480 | $119K |
| 2022 | 7,281 | $333K |
| 2023 | 8,125 | $242K |
| 2024 | 5,372 | $151K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,182 | 3,073 | $368K | |
| V2020 | Vision svcs frames purchases | 5,316 | 4,956 | $223K |
| 92014 | 2,014 | 1,953 | $189K | |
| V2100 | Lens spher single plano 4.00 | 4,154 | 3,859 | $34K |
| 92340 | 4,305 | 4,115 | $23K | |
| V2200 | Lens spher bifoc plano 4.00d | 626 | 607 | $21K |
| 92015 | 5,159 | 4,983 | $13K | |
| 92341 | 125 | 123 | $855.00 | |
| V2756 | Eye glass case | 322 | 289 | $0.00 |
| 92227 | 14 | 14 | $0.00 | |
| 92342 | 322 | 289 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 176 | 75 | $0.00 |
| 3072F | 17 | 17 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 261 | 261 | $0.00 |
| 2021F | 77 | 77 | $0.00 | |
| 2026F | 131 | 131 | $0.00 |