NPI: 1730369232 · JACKSONVILLE, FL 32202 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,582 | $25K |
| 2020 | 491 | $7K |
| 2021 | 438 | $6K |
| 2022 | 2,731 | $50K |
| 2023 | 3,945 | $73K |
| 2024 | 1,733 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,840 | 1,773 | $136K | |
| 92004 | 468 | 455 | $35K | |
| V2200 | Lens spher bifoc plano 4.00d | 119 | 108 | $9K |
| V2020 | Vision svcs frames purchases | 2,321 | 2,241 | $5K |
| 92015 | 2,488 | 2,410 | $4K | |
| 92340 | 1,916 | 1,859 | $3K | |
| V2100 | Lens spher single plano 4.00 | 1,874 | 1,764 | $3K |
| 92341 | 174 | 169 | $401.32 | |
| V2784 | Lens polycarb or equal | 13 | 13 | $10.00 |
| 92342 | 220 | 220 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 24 | 12 | $0.00 |
| V2756 | Eye glass case | 220 | 220 | $0.00 |
| 3072F | 25 | 25 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 218 | 218 | $0.00 |