NPI: 1922185503 · HILO, HI 96720 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,056 | $25K |
| 2019 | 1,651 | $52K |
| 2020 | 675 | $18K |
| 2021 | 1,279 | $40K |
| 2022 | 250 | $8K |
| 2023 | 438 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,333 | 1,282 | $66K | |
| V2020 | Vision svcs frames purchases | 590 | 515 | $35K |
| 92015 | 1,535 | 1,484 | $16K | |
| 92250 | 300 | 286 | $10K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 181 | 157 | $9K |
| 92340 | 335 | 312 | $9K | |
| 92004 | 41 | 41 | $3K | |
| 92134 | 79 | 54 | $2K | |
| 92133 | 62 | 39 | $2K | |
| V2756 | Eye glass case | 794 | 735 | $1K |
| V2799 | Misc vision item or service | 43 | 41 | $54.66 |
| 99072 | 56 | 52 | $0.00 |