NPI: 1902459407 · HAZLE TOWNSHIP, PA 18202 · 207QA0505X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 30 | $307.52 |
| 2020 | 3,042 | $82K |
| 2021 | 28,071 | $1.86M |
| 2022 | 29,288 | $2.19M |
| 2023 | 36,735 | $2.76M |
| 2024 | 36,596 | $2.81M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 53,331 | 47,437 | $9.27M |
| V2784 | Lens polycarb or equal | 4,329 | 2,081 | $128K |
| V2020 | Vision svcs frames purchases | 2,171 | 2,088 | $85K |
| V2101 | Single visn sphere 4.12-7.00 | 2,085 | 1,001 | $41K |
| 99214 | 13,176 | 12,302 | $40K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,048 | 553 | $32K |
| 99392 | 3,165 | 3,115 | $17K | |
| 99213 | 11,774 | 10,954 | $15K | |
| 99391 | 2,501 | 2,387 | $15K | |
| 99393 | 2,550 | 2,526 | $14K | |
| 99394 | 1,417 | 1,395 | $7K | |
| 90686 | 1,431 | 1,423 | $5K | |
| 99205 | Prolong outpt/office vis | 36 | 36 | $4K |
| 92014 | 1,702 | 1,616 | $3K | |
| 92015 | 2,644 | 2,434 | $3K | |
| 99211 | 645 | 593 | $3K | |
| 99203 | 1,166 | 1,135 | $2K | |
| 92004 | 662 | 545 | $2K | |
| 99204 | 155 | 153 | $2K | |
| 99215 | Prolong outpt/office vis | 1,101 | 1,049 | $2K |
| 90670 | 1,444 | 1,429 | $2K | |
| V2201 | Lens sphere bifocal 4.12-7.0 | 60 | 30 | $2K |
| 90723 | 1,322 | 1,311 | $1K | |
| 90647 | 1,147 | 1,136 | $1K | |
| 90680 | 1,045 | 1,036 | $1K | |
| 90633 | 788 | 773 | $890.70 | |
| 90715 | 141 | 139 | $821.66 | |
| G0008 | Admin influenza virus vac | 455 | 431 | $694.70 |
| V2100 | Lens spher single plano 4.00 | 20 | 12 | $576.00 |
| 90710 | 441 | 438 | $573.70 | |
| 90651 | 523 | 521 | $565.80 | |
| 0011A | 12 | 12 | $480.00 | |
| 92551 | 4,231 | 4,137 | $391.64 | |
| G2211 | Complex e/m visit add on | 2,662 | 2,491 | $275.77 |
| 3078F | 80 | 74 | $260.00 | |
| 99499 | 13 | 13 | $235.00 | |
| 3074F | 87 | 82 | $220.00 | |
| 90734 | 394 | 391 | $177.20 | |
| 99173 | 3,815 | 3,732 | $106.95 | |
| 0124A | 12 | 12 | $80.00 | |
| 99177 | 69 | 69 | $69.00 | |
| 83655 | 1,939 | 1,894 | $64.50 | |
| 3079F | 42 | 42 | $60.00 | |
| 90471 | 141 | 136 | $54.00 | |
| 96110 | 358 | 349 | $48.24 | |
| 81025 | 24 | 24 | $47.60 | |
| 99395 | 562 | 544 | $41.00 | |
| 0012A | 14 | 14 | $40.00 | |
| 85018 | 512 | 506 | $3.71 | |
| 80061 | 793 | 779 | $0.00 | |
| 90700 | 151 | 150 | $0.00 | |
| 99212 | 115 | 93 | $0.00 | |
| 90750 | 39 | 39 | $0.00 | |
| 90648 | 86 | 86 | $0.00 | |
| 90707 | 27 | 27 | $0.00 | |
| 90460 | 43 | 43 | $0.00 | |
| 90461 | 13 | 13 | $0.00 | |
| 90681 | 38 | 38 | $0.00 | |
| 99396 | 16 | 15 | $0.00 | |
| 90677 | 311 | 308 | $0.00 | |
| 96127 | 823 | 810 | $0.00 | |
| 3008F | 1,186 | 1,113 | $0.00 | |
| 90656 | 278 | 276 | $0.00 | |
| 91301 | 16 | 16 | $0.00 | |
| 99383 | 54 | 54 | $0.00 | |
| 90696 | 114 | 114 | $0.00 | |
| 90716 | 40 | 40 | $0.00 | |
| 99381 | 38 | 38 | $0.00 | |
| G0010 | Admin hepatitis b vaccine | 30 | 30 | $0.00 |
| 99385 | 42 | 40 | $0.00 | |
| 99459 | 28 | 28 | $0.00 | |
| 91307 | 39 | 38 | $0.00 |