NPI: 1861579633
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,389 | $138K |
| 2019 | 6,454 | $181K |
| 2020 | 7,130 | $248K |
| 2021 | 5,188 | $174K |
| 2022 | 2,563 | $86K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | 3,397 | 2,904 | $208K | |
| 92015 | 7,208 | 6,564 | $122K | |
| 92014 | 2,944 | 2,598 | $122K | |
| 92004 | 2,595 | 2,364 | $117K | |
| 92285 | 3,476 | 3,045 | $101K | |
| 92340 | 2,916 | 2,658 | $83K | |
| 92083 | 1,518 | 1,324 | $53K | |
| 92250 | 500 | 423 | $17K | |
| 92060 | 132 | 132 | $3K | |
| 92012 | 13 | 13 | $585.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 182 | 182 | $0.00 |
| V2784 | Lens polycarb or equal | 313 | 313 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 108 | 108 | $0.00 |
| V2020 | Vision svcs frames purchases | 422 | 413 | $0.00 |