NPI: 1821540758 · JOHNSTOWN, PA 15901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 55 | $1K |
| 2021 | 294 | $5K |
| 2022 | 311 | $6K |
| 2023 | 653 | $19K |
| 2024 | 2,906 | $98K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,099 | 1,061 | $54K |
| S0621 | Routine ophthalmological exa | 497 | 493 | $16K |
| V2100 | Lens spher single plano 4.00 | 338 | 255 | $15K |
| 92014 | 288 | 275 | $12K | |
| 92004 | 232 | 220 | $10K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 158 | 143 | $6K |
| S0620 | Routine ophthalmological exa | 190 | 190 | $6K |
| 92340 | 410 | 402 | $4K | |
| 92015 | 834 | 820 | $3K | |
| V2784 | Lens polycarb or equal | 158 | 124 | $3K |
| 92310 | 15 | 14 | $495.00 |