NPI: 1770005175 · BETHLEHEM, PA 18020 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 710 | $21K |
| 2021 | 1,242 | $39K |
| 2022 | 2,006 | $63K |
| 2023 | 2,425 | $78K |
| 2024 | 1,626 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,179 | 1,212 | $73K |
| 92002 | 1,419 | 1,418 | $57K | |
| V2020 | Vision svcs frames purchases | 2,438 | 2,196 | $51K |
| 92014 | 997 | 982 | $39K | |
| 92004 | 555 | 541 | $22K | |
| V2100 | Lens spher single plano 4.00 | 151 | 123 | $7K |
| S0500 | Dispos cont lens | 89 | 89 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 21 | 13 | $809.29 |
| V2744 | Tint photochromatic lens/es | 46 | 28 | $235.00 |
| V2750 | Anti-reflective coating | 99 | 56 | $160.00 |
| V2799 | Misc vision item or service | 15 | 15 | $135.00 |