NPI: 1700276656 · LANCASTER, PA 17603 · 152WL0500X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 112 | $3K |
| 2020 | 2,010 | $53K |
| 2021 | 12,170 | $350K |
| 2022 | 14,773 | $414K |
| 2023 | 17,106 | $484K |
| 2024 | 13,257 | $357K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 11,660 | 6,146 | $413K |
| V2020 | Vision svcs frames purchases | 9,124 | 8,134 | $266K |
| 99213 | 5,977 | 5,644 | $171K | |
| 92004 | 3,295 | 3,246 | $139K | |
| 99214 | 2,613 | 2,565 | $123K | |
| 68761 | 3,334 | 1,596 | $123K | |
| 99204 | 1,300 | 1,268 | $102K | |
| 92250 | 2,082 | 2,036 | $92K | |
| 92014 | 1,946 | 1,907 | $79K | |
| V2784 | Lens polycarb or equal | 9,691 | 4,469 | $45K |
| 92083 | 774 | 766 | $42K | |
| 92015 | 5,851 | 5,750 | $27K | |
| 92133 | 721 | 711 | $21K | |
| V2750 | Anti-reflective coating | 659 | 363 | $9K |
| V2200 | Lens spher bifoc plano 4.00d | 112 | 67 | $5K |
| 92340 | 96 | 94 | $960.00 | |
| V2755 | Uv lens/es | 124 | 60 | $672.00 |
| V2025 | Eyeglasses delux frames | 45 | 44 | $534.60 |
| 92012 | 12 | 12 | $480.00 | |
| 92134 | 12 | 12 | $349.57 |