NPI: 1962589291 · BALTIMORE, MD 21212 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,055 | $29K |
| 2022 | 1,296 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 666 | 665 | $13K |
| V2020 | Vision svcs frames purchases | 894 | 893 | $12K |
| 92004 | 506 | 498 | $12K | |
| 92014 | 333 | 330 | $8K | |
| V2784 | Lens polycarb or equal | 530 | 530 | $3K |
| V2781 | Progressive lens per lens | 74 | 74 | $2K |
| V2299 | Lens bifocal speciality | 74 | 74 | $2K |
| V2750 | Anti-reflective coating | 77 | 77 | $0.00 |
| 92015 | 197 | 197 | $0.00 |