NPI: 1770775900 · JACKSONVILLE, FL 32202 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,094 | $31K |
| 2020 | 1,851 | $31K |
| 2021 | 1,174 | $19K |
| 2022 | 1,373 | $26K |
| 2024 | 1,482 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,253 | 1,217 | $92K | |
| 92004 | 390 | 387 | $25K | |
| V2020 | Vision svcs frames purchases | 1,671 | 1,607 | $7K |
| 92340 | 1,487 | 1,442 | $5K | |
| 92015 | 1,882 | 1,837 | $5K | |
| V2100 | Lens spher single plano 4.00 | 1,393 | 1,266 | $3K |
| 92342 | 262 | 262 | $0.00 | |
| V2756 | Eye glass case | 262 | 262 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 76 | 38 | $0.00 |
| 3072F | 24 | 24 | $0.00 | |
| 2022F | 193 | 193 | $0.00 | |
| 92341 | 14 | 14 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 67 | 67 | $0.00 |