NPI: 1801918578 · NEW YORK, NY 10011 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,488 | $13K |
| 2019 | 2,017 | $18K |
| 2020 | 2,134 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 438 | 418 | $16K | |
| V2020 | Vision svcs frames purchases | 2,129 | 2,101 | $12K |
| V2199 | Lens single vision not oth c | 1,350 | 675 | $10K |
| 92250 | 175 | 175 | $9K | |
| 92340 | 589 | 579 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 349 | 275 | $3K |
| 92082 | 56 | 56 | $3K | |
| 92285 | 152 | 85 | $2K | |
| 92286 | 17 | 17 | $1K | |
| V2100 | Lens spher single plano 4.00 | 116 | 97 | $1K |
| 92002 | 24 | 24 | $951.48 | |
| 68801 | 18 | 14 | $932.40 | |
| 92083 | 17 | 17 | $895.56 | |
| V2299 | Lens bifocal speciality | 24 | 12 | $400.12 |
| 92025 | 18 | 18 | $398.88 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 19 | 14 | $243.46 |
| 92202 | 12 | 12 | $123.72 | |
| V2784 | Lens polycarb or equal | 58 | 29 | $0.00 |
| V2750 | Anti-reflective coating | 78 | 39 | $0.00 |