NPI: 1801569249 · ALTAMONTE SPRINGS, FL 32701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 983 | $19K |
| 2022 | 5,449 | $86K |
| 2023 | 6,580 | $117K |
| 2024 | 5,382 | $122K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,887 | 2,630 | $98K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,173 | 1,893 | $77K |
| 92004 | 1,076 | 978 | $61K | |
| V2100 | Lens spher single plano 4.00 | 966 | 848 | $27K |
| V2020 | Vision svcs frames purchases | 2,403 | 2,103 | $25K |
| 92015 | 3,631 | 3,303 | $22K | |
| 92340 | 3,183 | 2,777 | $20K | |
| V2599 | Contact lens/es other type | 35 | 33 | $6K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 204 | 190 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 28 | 26 | $2K |
| 92310 | 100 | 90 | $580.00 | |
| V2107 | Spherocylinder 4.25d/12-2d | 17 | 12 | $288.00 |
| 92341 | 68 | 64 | $284.66 | |
| V2784 | Lens polycarb or equal | 261 | 238 | $0.00 |
| V2750 | Anti-reflective coating | 87 | 80 | $0.00 |
| V2025 | Eyeglasses delux frames | 1,275 | 1,146 | $-130.00 |