NPI: 1750654265 · WASHINGTON, DC 20020 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 35 | $1K |
| 2020 | 57 | $3K |
| 2021 | 2,239 | $131K |
| 2022 | 3,202 | $142K |
| 2023 | 5,096 | $251K |
| 2024 | 5,451 | $296K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,659 | 2,635 | $182K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,031 | 968 | $111K |
| 92340 | 3,978 | 3,915 | $80K | |
| V2025 | Eyeglasses delux frames | 1,003 | 885 | $66K |
| 92004 | 658 | 640 | $66K | |
| 92341 | 1,997 | 1,909 | $55K | |
| V2219 | Lens bifocal seg width over | 640 | 566 | $53K |
| V2784 | Lens polycarb or equal | 714 | 665 | $48K |
| V2020 | Vision svcs frames purchases | 745 | 743 | $42K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 383 | 334 | $40K |
| V2760 | Scratch resistant coating | 1,165 | 1,049 | $35K |
| V2750 | Anti-reflective coating | 444 | 430 | $15K |
| V2200 | Lens spher bifoc plano 4.00d | 80 | 80 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 154 | 120 | $8K |
| 99204 | 35 | 35 | $5K | |
| 92015 | 317 | 305 | $5K | |
| V2101 | Single visn sphere 4.12-7.00 | 45 | 45 | $3K |
| 92250 | 32 | 31 | $654.58 |