NPI: 1952304032 · JACKSONVILLE, FL 32204 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,152 | $30K |
| 2020 | 1,229 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 735 | 718 | $26K |
| 92004 | 308 | 302 | $10K | |
| 92014 | 54 | 52 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 562 | 401 | $423.34 |
| 92015 | 489 | 475 | $89.37 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 75 | 51 | $15.66 |
| 92340 | 590 | 575 | $15.00 | |
| V2784 | Lens polycarb or equal | 211 | 210 | $0.00 |
| V2799 | Misc vision item or service | 13 | 13 | $0.00 |
| 92342 | 418 | 415 | $0.00 | |
| V2756 | Eye glass case | 402 | 399 | $0.00 |
| 2021F | 207 | 207 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 220 | 220 | $0.00 |
| 92341 | 97 | 95 | $0.00 |