NPI: 1831189646 · JACKSONVILLE, FL 32211 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,361 | $23K |
| 2020 | 2,763 | $32K |
| 2021 | 1,780 | $45K |
| 2023 | 45 | $202.18 |
| 2024 | 196 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 796 | 764 | $47K | |
| 92004 | 577 | 565 | $23K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 941 | 686 | $22K |
| V2020 | Vision svcs frames purchases | 1,179 | 1,113 | $10K |
| 92340 | 1,203 | 1,153 | $1K | |
| 92015 | 997 | 959 | $1K | |
| V2100 | Lens spher single plano 4.00 | 112 | 97 | $779.52 |
| 2022F | 552 | 551 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 508 | 508 | $0.00 |
| 3072F | 223 | 222 | $0.00 | |
| 92342 | 529 | 520 | $0.00 | |
| V2756 | Eye glass case | 528 | 519 | $0.00 |