NPI: 1942267968 · FLORENCE, SC 29501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 686 | $20K |
| 2019 | 891 | $24K |
| 2020 | 1,405 | $43K |
| 2021 | 1,544 | $47K |
| 2022 | 2,350 | $80K |
| 2023 | 2,842 | $98K |
| 2024 | 1,319 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,576 | 1,574 | $111K | |
| 92014 | 1,186 | 1,186 | $77K | |
| V2020 | Vision svcs frames purchases | 1,400 | 1,393 | $49K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,229 | 1,065 | $46K |
| 92340 | 2,425 | 2,408 | $45K | |
| 92015 | 3,073 | 3,071 | $26K | |
| V2100 | Lens spher single plano 4.00 | 79 | 77 | $2K |
| V2784 | Lens polycarb or equal | 43 | 41 | $964.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $569.00 |
| V2760 | Scratch resistant coating | 14 | 14 | $140.00 |