NPI: 1932117363 · JACKSONVILLE, FL 32211 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,247 | $29K |
| 2020 | 3,721 | $44K |
| 2021 | 2,304 | $67K |
| 2022 | 3,897 | $112K |
| 2023 | 686 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,124 | 3,056 | $202K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,437 | 1,093 | $42K |
| 92004 | 208 | 202 | $15K | |
| V2020 | Vision svcs frames purchases | 2,262 | 2,049 | $12K |
| 92340 | 1,796 | 1,623 | $4K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 84 | 69 | $3K |
| 92015 | 2,819 | 2,769 | $2K | |
| V2100 | Lens spher single plano 4.00 | 287 | 163 | $1K |
| 92341 | 137 | 135 | $388.00 | |
| V2784 | Lens polycarb or equal | 192 | 190 | $145.72 |
| V2025 | Eyeglasses delux frames | 38 | 34 | $41.00 |
| 92342 | 549 | 548 | $0.00 | |
| V2756 | Eye glass case | 549 | 548 | $0.00 |
| 3072F | 134 | 133 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 622 | 622 | $0.00 |
| 2022F | 617 | 609 | $0.00 |