NPI: 1861843567 · TROY, NY 12180 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,884 | $68K |
| 2023 | 1,469 | $54K |
| 2024 | 545 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 543 | 532 | $39K |
| V2020 | Vision svcs frames purchases | 1,181 | 1,131 | $34K |
| V2784 | Lens polycarb or equal | 883 | 847 | $34K |
| V2410 | Lens variab asphericity sing | 349 | 333 | $13K |
| V2755 | Uv lens/es | 868 | 834 | $13K |
| V2100 | Lens spher single plano 4.00 | 45 | 43 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 29 | 27 | $2K |