NPI: 1730562661 · JOHNSTOWN, PA 15904 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 47 | $1K |
| 2021 | 610 | $13K |
| 2022 | 1,092 | $21K |
| 2023 | 799 | $17K |
| 2024 | 268 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 996 | 852 | $30K |
| S0620 | Routine ophthalmological exa | 734 | 652 | $22K |
| V2020 | Vision svcs frames purchases | 45 | 45 | $4K |
| 92310 | 90 | 53 | $3K | |
| V2100 | Lens spher single plano 4.00 | 26 | 26 | $690.70 |
| 92250 | 771 | 532 | $0.00 | |
| 92015 | 128 | 123 | $0.00 | |
| 92014 | 26 | 13 | $0.00 |