NPI: 1841298932 · JERSEY CITY, NJ 07306 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $0.00 |
| 2022 | 280 | $9K |
| 2023 | 828 | $37K |
| 2024 | 584 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | 326 | 320 | $32K | |
| 99203 | 216 | 215 | $17K | |
| 99213 | 163 | 158 | $7K | |
| 92015 | 598 | 581 | $5K | |
| 92014 | 38 | 34 | $3K | |
| 92004 | 34 | 26 | $3K | |
| 92133 | 85 | 84 | $2K | |
| 92012 | 26 | 19 | $1K | |
| 99212 | 28 | 26 | $1K | |
| 92082 | 32 | 32 | $836.99 | |
| V2750 | Anti-reflective coating | 16 | 13 | $0.00 |
| V2020 | Vision svcs frames purchases | 41 | 41 | $0.00 |
| V2784 | Lens polycarb or equal | 41 | 41 | $0.00 |
| 2023F | 59 | 59 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 15 | 15 | $0.00 |