NPI: 1801988894 · KAILUA KONA, HI 96740 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,216 | $47K |
| 2019 | 1,166 | $45K |
| 2020 | 520 | $14K |
| 2021 | 798 | $23K |
| 2022 | 865 | $11K |
| 2023 | 833 | $11K |
| 2024 | 402 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,662 | 1,557 | $62K | |
| 92004 | 318 | 313 | $22K | |
| V2020 | Vision svcs frames purchases | 259 | 250 | $22K |
| 92015 | 2,602 | 2,429 | $22K | |
| 92250 | 406 | 380 | $16K | |
| 92340 | 199 | 189 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 74 | 73 | $5K |
| V2784 | Lens polycarb or equal | 35 | 35 | $3K |
| V2756 | Eye glass case | 43 | 37 | $55.74 |
| V2100 | Lens spher single plano 4.00 | 68 | 68 | $0.00 |
| V2025 | Eyeglasses delux frames | 134 | 131 | $0.00 |