NPI: 1861435174 · POTTSVILLE, PA 17901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,667 | $4K |
| 2020 | 3,207 | $95K |
| 2021 | 22,147 | $679K |
| 2022 | 20,980 | $700K |
| 2023 | 25,426 | $897K |
| 2024 | 18,963 | $611K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 67028 | 8,599 | 5,638 | $483K | |
| 92134 | 14,674 | 14,261 | $291K | |
| 66984 | 806 | 699 | $268K | |
| 92014 | 9,270 | 8,769 | $266K | |
| 99214 | 7,112 | 6,915 | $259K | |
| 99213 | 8,875 | 8,279 | $247K | |
| 92004 | 2,646 | 2,607 | $128K | |
| 92235 | 3,256 | 3,144 | $119K | |
| 92250 | 3,807 | 3,674 | $110K | |
| J9035 | Bevacizumab injection | 4,773 | 3,398 | $102K |
| 92083 | 2,679 | 2,630 | $99K | |
| 65855 | 694 | 573 | $88K | |
| V2020 | Vision svcs frames purchases | 3,451 | 2,892 | $70K |
| 67210 | 374 | 330 | $69K | |
| 99204 | 708 | 702 | $60K | |
| 92133 | 2,588 | 2,543 | $53K | |
| V2199 | Lens single vision not oth c | 1,558 | 647 | $42K |
| 92012 | 1,687 | 1,584 | $39K | |
| V2784 | Lens polycarb or equal | 4,328 | 1,828 | $32K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 858 | 352 | $23K |
| 67228 | 88 | 59 | $23K | |
| 92201 | 1,794 | 1,704 | $18K | |
| 92020 | 1,769 | 1,739 | $17K | |
| 92060 | 491 | 485 | $15K | |
| 67145 | 132 | 129 | $15K | |
| 92202 | 1,406 | 1,391 | $10K | |
| 92136 | 497 | 457 | $6K | |
| 99203 | 93 | 93 | $6K | |
| 66821 | 52 | 47 | $5K | |
| 99212 | 180 | 168 | $5K | |
| 76514 | 630 | 621 | $4K | |
| V2100 | Lens spher single plano 4.00 | 122 | 54 | $3K |
| V2102 | Singl visn sphere 7.12-20.00 | 73 | 72 | $3K |
| 67220 | 12 | 12 | $3K | |
| 65600 | 24 | 24 | $2K | |
| 99215 | Prolong outpt/office vis | 52 | 52 | $2K |
| 92015 | 630 | 616 | $1K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 34 | 12 | $909.16 |
| V2299 | Lens bifocal speciality | 24 | 12 | $875.52 |
| 76519 | 16 | 14 | $602.26 | |
| S0621 | Routine ophthalmological exa | 13 | 13 | $390.00 |
| 92226 | 816 | 397 | $211.34 | |
| 92225 | 24 | 12 | $0.00 | |
| 83861 | 359 | 173 | $0.00 | |
| J7999 | Compounded drug, noc | 1,275 | 861 | $0.00 |
| 99024 | 41 | 38 | $0.00 |