NPI: 1790935369 · ALTOONA, PA 16601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 762 | $29K |
| 2021 | 3,413 | $136K |
| 2022 | 3,550 | $142K |
| 2023 | 3,967 | $167K |
| 2024 | 3,407 | $146K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,383 | 4,355 | $348K |
| S0621 | Routine ophthalmological exa | 3,109 | 3,092 | $93K |
| V2100 | Lens spher single plano 4.00 | 4,386 | 4,348 | $69K |
| S0620 | Routine ophthalmological exa | 1,841 | 1,830 | $55K |
| V2520 | Contact lens hydrophilic | 334 | 331 | $22K |
| 92310 | 336 | 336 | $12K | |
| 92012 | 278 | 277 | $8K | |
| 92014 | 174 | 172 | $7K | |
| 92002 | 207 | 205 | $6K | |
| 92340 | 36 | 30 | $360.00 | |
| 92015 | 15 | 15 | $67.50 |