NPI: 1730387804 · KEALAKEKUA, HI 96750 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 459 | $19K |
| 2019 | 270 | $10K |
| 2020 | 376 | $12K |
| 2021 | 501 | $18K |
| 2022 | 855 | $20K |
| 2023 | 542 | $13K |
| 2024 | 415 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 589 | 555 | $26K | |
| 92083 | 572 | 541 | $24K | |
| V2020 | Vision svcs frames purchases | 239 | 212 | $18K |
| 92134 | 291 | 285 | $11K | |
| 92012 | 230 | 219 | $8K | |
| 92014 | 134 | 131 | $7K | |
| 99213 | 126 | 110 | $4K | |
| 92015 | 943 | 657 | $3K | |
| 92340 | 69 | 63 | $2K | |
| V2784 | Lens polycarb or equal | 28 | 12 | $681.60 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 12 | $660.79 |
| 92225 | 15 | 15 | $296.34 | |
| V2750 | Anti-reflective coating | 51 | 41 | $10.98 |
| V2025 | Eyeglasses delux frames | 65 | 65 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 40 | 40 | $0.00 |