NPI: 1922073071 · ELMIRA, NY 14904 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,688 | $163K |
| 2019 | 8,003 | $162K |
| 2020 | 7,035 | $131K |
| 2021 | 7,627 | $138K |
| 2022 | 3,213 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,122 | 4,039 | $201K | |
| 92004 | 2,671 | 2,618 | $158K | |
| V2100 | Lens spher single plano 4.00 | 4,494 | 2,206 | $88K |
| V2020 | Vision svcs frames purchases | 4,931 | 4,801 | $56K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,328 | 1,170 | $48K |
| 92341 | 1,575 | 1,481 | $29K | |
| 92340 | 1,756 | 1,706 | $26K | |
| V2200 | Lens spher bifoc plano 4.00d | 830 | 404 | $24K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 399 | 198 | $11K |
| 92015 | 860 | 860 | $8K | |
| S0621 | Routine ophthalmological exa | 38 | 38 | $2K |
| S0620 | Routine ophthalmological exa | 32 | 32 | $1K |
| V2784 | Lens polycarb or equal | 9,440 | 4,627 | $406.08 |
| 92370 | 40 | 39 | $273.00 | |
| 3072F | 50 | 50 | $0.00 |