NPI: 1851780621 · WAHIAWA, HI 96786 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,106 | $0.00 |
| 2019 | 2,051 | $592.33 |
| 2020 | 1,931 | $24K |
| 2021 | 2,917 | $71K |
| 2022 | 2,145 | $65K |
| 2023 | 2,039 | $64K |
| 2024 | 919 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 3,138 | 2,422 | $110K | |
| 92082 | 2,630 | 2,253 | $71K | |
| 92250 | 1,090 | 1,067 | $38K | |
| V2020 | Vision svcs frames purchases | 358 | 335 | $13K |
| 92134 | 189 | 187 | $8K | |
| 92340 | 248 | 229 | $3K | |
| V2784 | Lens polycarb or equal | 49 | 46 | $3K |
| 92015 | 376 | 367 | $2K | |
| 92133 | 55 | 54 | $2K | |
| 92004 | 81 | 80 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 42 | 39 | $2K |
| 92014 | 25 | 25 | $1K | |
| V2756 | Eye glass case | 359 | 336 | $249.30 |
| S9999 | Sales tax | 4,468 | 2,900 | $0.00 |