NPI: 1811059785 · NEWARK, NJ 07102 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,004 | $71K |
| 2019 | 6,562 | $97K |
| 2020 | 3,212 | $34K |
| 2021 | 2,561 | $15K |
| 2022 | 9,188 | $15K |
| 2023 | 3,745 | $7K |
| 2024 | 1,697 | $320.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 4,905 | 4,888 | $132K | |
| 92226 | 1,798 | 1,733 | $66K | |
| 92225 | 888 | 792 | $35K | |
| 92014 | 9,976 | 9,882 | $2K | |
| 99213 | 42 | 38 | $2K | |
| 99203 | 17 | 16 | $915.75 | |
| 92004 | 4,420 | 4,217 | $652.93 | |
| 92134 | 27 | 27 | $522.72 | |
| 92083 | 16 | 16 | $358.40 | |
| 92133 | 15 | 15 | $290.40 | |
| 92202 | 41 | 41 | $277.60 | |
| 92020 | 15 | 15 | $264.00 | |
| 76514 | 15 | 15 | $165.00 | |
| V2744 | Tint photochromatic lens/es | 289 | 159 | $0.00 |
| V2784 | Lens polycarb or equal | 1,280 | 783 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 286 | 146 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 2,050 | 1,265 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 116 | 58 | $0.00 |
| V2299 | Lens bifocal speciality | 166 | 91 | $0.00 |
| V2781 | Progressive lens per lens | 168 | 92 | $0.00 |
| S0620 | Routine ophthalmological exa | 101 | 101 | $0.00 |
| 92015 | 2,769 | 2,758 | $0.00 | |
| V2020 | Vision svcs frames purchases | 1,923 | 1,906 | $0.00 |
| V2750 | Anti-reflective coating | 871 | 551 | $0.00 |
| S0621 | Routine ophthalmological exa | 723 | 723 | $0.00 |
| 2022F | 52 | 44 | $0.00 |