NPI: 1952593527 · JACKSONVILLE, FL 32218 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,843 | $9K |
| 2020 | 579 | $4K |
| 2021 | 1,356 | $21K |
| 2022 | 2,249 | $42K |
| 2023 | 2,837 | $43K |
| 2024 | 1,538 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,124 | 990 | $60K | |
| V2100 | Lens spher single plano 4.00 | 1,707 | 1,266 | $30K |
| V2020 | Vision svcs frames purchases | 1,851 | 1,586 | $28K |
| 92004 | 598 | 541 | $21K | |
| 92340 | 1,854 | 1,582 | $8K | |
| 92015 | 2,078 | 1,875 | $5K | |
| V2784 | Lens polycarb or equal | 375 | 262 | $1K |
| V2756 | Eye glass case | 234 | 234 | $0.00 |
| 92342 | 239 | 238 | $0.00 | |
| 3072F | 13 | 13 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 32 | 16 | $0.00 |
| G0117 | Glaucoma scrn hgh risk direc | 189 | 188 | $0.00 |
| 2022F | 108 | 107 | $0.00 |