NPI: 1790946556 · CHAMBERSBURG, PA 17201 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 378 | $7K |
| 2021 | 2,166 | $38K |
| 2022 | 1,510 | $31K |
| 2023 | 456 | $21K |
| 2024 | 257 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,235 | 1,221 | $55K |
| 92014 | 691 | 683 | $24K | |
| V2100 | Lens spher single plano 4.00 | 731 | 721 | $18K |
| V2784 | Lens polycarb or equal | 609 | 601 | $3K |
| 92004 | 90 | 90 | $3K | |
| S0620 | Routine ophthalmological exa | 93 | 93 | $3K |
| S0621 | Routine ophthalmological exa | 87 | 86 | $3K |
| V2750 | Anti-reflective coating | 337 | 336 | $88.48 |
| 92015 | 882 | 876 | $4.95 | |
| V2744 | Tint photochromatic lens/es | 12 | 12 | $0.00 |