NPI: 1760897235 · BAYSIDE, NY 11361 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 179 | $9K |
| 2021 | 1,108 | $44K |
| 2022 | 2,252 | $87K |
| 2023 | 1,794 | $73K |
| 2024 | 2,126 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92285 | 1,668 | 1,607 | $113K | |
| 92250 | 1,368 | 1,353 | $54K | |
| 92004 | 939 | 927 | $52K | |
| V2100 | Lens spher single plano 4.00 | 869 | 862 | $21K |
| V2020 | Vision svcs frames purchases | 997 | 990 | $20K |
| 92083 | 255 | 252 | $10K | |
| 92014 | 213 | 205 | $9K | |
| 99213 | 95 | 93 | $2K | |
| V2784 | Lens polycarb or equal | 47 | 47 | $390.00 |
| 92015 | 1,008 | 984 | $0.00 |