NPI: 1962054395 · BAYAMON, PR 00956 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 816 | $16K |
| 2022 | 206 | $5K |
| 2023 | 4,221 | $94K |
| 2024 | 5,161 | $120K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97140 | 3,368 | 912 | $66K | |
| 97110 | 2,942 | 784 | $63K | |
| 97032 | 3,378 | 901 | $57K | |
| 99213 | 464 | 439 | $32K | |
| 99203 | 154 | 149 | $13K | |
| 95886 | 13 | 12 | $2K | |
| 92002 | 21 | 21 | $567.00 | |
| 92015 | 22 | 22 | $486.00 | |
| V2020 | Vision svcs frames purchases | 18 | 18 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 12 | 12 | $0.00 |