NPI: 1831133628 · ABSECON, NJ 08201 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,160 | $15K |
| 2019 | 2,507 | $23K |
| 2020 | 2,288 | $17K |
| 2021 | 2,977 | $17K |
| 2022 | 2,904 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,205 | 3,201 | $43K | |
| V2020 | Vision svcs frames purchases | 2,660 | 2,627 | $12K |
| V2100 | Lens spher single plano 4.00 | 2,728 | 1,645 | $10K |
| 99213 | 191 | 190 | $5K | |
| V2784 | Lens polycarb or equal | 1,677 | 961 | $5K |
| 99214 | 108 | 108 | $5K | |
| 92250 | 109 | 109 | $4K | |
| 92015 | 1,245 | 1,244 | $3K | |
| 92004 | 176 | 176 | $486.80 | |
| V2200 | Lens spher bifoc plano 4.00d | 68 | 37 | $208.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 388 | 203 | $170.00 |
| S0620 | Routine ophthalmological exa | 57 | 57 | $0.00 |
| V2760 | Scratch resistant coating | 170 | 83 | $0.00 |
| S0621 | Routine ophthalmological exa | 54 | 54 | $0.00 |