NPI: 1700851383 · DOVER, DE 19904 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 478 | $3K |
| 2019 | 1,839 | $33K |
| 2020 | 1,668 | $90K |
| 2021 | 1,836 | $99K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,069 | 1,032 | $63K |
| V2020 | Vision svcs frames purchases | 1,769 | 1,668 | $61K |
| V2100 | Lens spher single plano 4.00 | 748 | 706 | $21K |
| 92014 | 171 | 158 | $15K | |
| V2784 | Lens polycarb or equal | 481 | 448 | $13K |
| S0620 | Routine ophthalmological exa | 305 | 287 | $9K |
| 99213 | 131 | 129 | $9K | |
| 92012 | 191 | 154 | $8K | |
| 99214 | 78 | 77 | $8K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 328 | 288 | $7K |
| 92015 | 462 | 409 | $5K | |
| S0500 | Dispos cont lens | 30 | 26 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 31 | 31 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 14 | 14 | $759.64 |
| 92133 | 13 | 13 | $569.89 |