NPI: 1871713016 · CHARLOTTE AMALIE, VI 00802 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 732 | $20K |
| 2019 | 929 | $25K |
| 2020 | 1,546 | $55K |
| 2021 | 1,884 | $74K |
| 2022 | 1,990 | $80K |
| 2023 | 1,534 | $59K |
| 2024 | 1,109 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,882 | 1,865 | $101K |
| 92004 | 1,485 | 1,478 | $95K | |
| V2100 | Lens spher single plano 4.00 | 756 | 753 | $52K |
| V2201 | Lens sphere bifocal 4.12-7.0 | 394 | 391 | $39K |
| V2755 | Uv lens/es | 1,906 | 1,889 | $35K |
| V2760 | Scratch resistant coating | 1,917 | 1,901 | $26K |
| V2745 | Tint, any color/solid/grad | 1,368 | 1,352 | $11K |
| V2101 | Single visn sphere 4.12-7.00 | 16 | 16 | $637.50 |