NPI: 1841642170 · GREENSBURG, PA 15601 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 195 | $6K |
| 2021 | 1,460 | $44K |
| 2022 | 1,868 | $62K |
| 2023 | 1,323 | $50K |
| 2024 | 1,576 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,496 | 2,113 | $107K |
| V2100 | Lens spher single plano 4.00 | 2,138 | 1,731 | $71K |
| V2784 | Lens polycarb or equal | 432 | 374 | $14K |
| 92014 | 263 | 258 | $11K | |
| 92004 | 167 | 160 | $7K | |
| V2750 | Anti-reflective coating | 128 | 102 | $4K |
| S0621 | Routine ophthalmological exa | 103 | 103 | $3K |
| S0620 | Routine ophthalmological exa | 96 | 96 | $3K |
| 92340 | 113 | 88 | $3K | |
| 92012 | 44 | 44 | $2K | |
| V2500 | Contact lens pmma spherical | 25 | 13 | $2K |
| V2799 | Misc vision item or service | 387 | 278 | $0.00 |
| 92250 | 30 | 30 | $0.00 |