NPI: 1902110612 · FREDERICK, MD 21703 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 4,589 | $51K |
| 2021 | 6,673 | $74K |
| 2022 | 6,731 | $65K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,960 | 2,614 | $54K | |
| V2100 | Lens spher single plano 4.00 | 3,136 | 2,896 | $43K |
| V2020 | Vision svcs frames purchases | 3,567 | 3,306 | $38K |
| 92004 | 1,340 | 1,213 | $23K | |
| V2784 | Lens polycarb or equal | 2,440 | 2,262 | $17K |
| V2781 | Progressive lens per lens | 282 | 266 | $8K |
| V2299 | Lens bifocal speciality | 284 | 268 | $6K |
| V2200 | Lens spher bifoc plano 4.00d | 30 | 25 | $565.50 |
| V2750 | Anti-reflective coating | 1,421 | 1,315 | $0.00 |
| 92015 | 2,533 | 2,225 | $0.00 |