NPI: 1841281714 · ERIE, PA 16501 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 41 | $1K |
| 2020 | 743 | $28K |
| 2021 | 3,158 | $126K |
| 2022 | 3,003 | $124K |
| 2023 | 2,956 | $133K |
| 2024 | 2,803 | $137K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,180 | 2,156 | $206K |
| 99213 | 2,512 | 2,498 | $93K | |
| 99214 | 1,529 | 1,520 | $86K | |
| 92060 | 1,271 | 1,263 | $52K | |
| 99204 | 332 | 329 | $32K | |
| 92014 | 457 | 452 | $25K | |
| 92015 | 3,054 | 3,035 | $25K | |
| 99203 | 171 | 171 | $10K | |
| V2784 | Lens polycarb or equal | 212 | 207 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 588 | 581 | $4K |
| 92004 | 66 | 66 | $4K | |
| 99212 | 119 | 118 | $3K | |
| 99072 | 127 | 123 | $511.80 | |
| V2100 | Lens spher single plano 4.00 | 74 | 73 | $492.02 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $55.10 |