NPI: 1831284371
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,669 | $436K |
| 2019 | 3,264 | $108K |
| 2020 | 2,371 | $69K |
| 2021 | 8,331 | $287K |
| 2022 | 7,208 | $227K |
| 2023 | 54 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 7,640 | 7,432 | $292K |
| 92014 | 4,739 | 4,634 | $240K | |
| V2100 | Lens spher single plano 4.00 | 6,242 | 6,104 | $192K |
| 92004 | 2,662 | 2,613 | $137K | |
| 92015 | 4,403 | 4,309 | $89K | |
| V2200 | Lens spher bifoc plano 4.00d | 1,257 | 1,221 | $69K |
| 92340 | 2,424 | 2,401 | $56K | |
| V2784 | Lens polycarb or equal | 761 | 761 | $29K |
| 92341 | 561 | 544 | $13K | |
| V2745 | Tint, any color/solid/grad | 203 | 203 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 216 | 216 | $3K |
| 92250 | 32 | 32 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 38 | 38 | $363.66 |
| V2744 | Tint photochromatic lens/es | 14 | 14 | $31.16 |
| V2750 | Anti-reflective coating | 14 | 14 | $0.00 |
| V2025 | Eyeglasses delux frames | 691 | 690 | $0.00 |