NPI: 1740283035 · WEST NEW YORK, NJ 07093 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,151 | $33K |
| 2019 | 1,083 | $14K |
| 2020 | 523 | $8K |
| 2021 | 624 | $12K |
| 2022 | 570 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,562 | 1,557 | $47K | |
| 92340 | 1,215 | 1,213 | $16K | |
| 99214 | 110 | 109 | $5K | |
| 92004 | 143 | 143 | $4K | |
| 92015 | 1,555 | 1,553 | $4K | |
| V2020 | Vision svcs frames purchases | 698 | 696 | $380.00 |
| V2100 | Lens spher single plano 4.00 | 64 | 38 | $21.00 |
| S0621 | Routine ophthalmological exa | 93 | 93 | $0.00 |
| V2784 | Lens polycarb or equal | 299 | 244 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 62 | 31 | $0.00 |
| S0620 | Routine ophthalmological exa | 12 | 12 | $0.00 |
| V2101 | Single visn sphere 4.12-7.00 | 125 | 125 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 13 | $0.00 |