NPI: 1972708550 · NEW ROCHELLE, NY 10801 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 329 | $3K |
| 2021 | 1,097 | $51K |
| 2022 | 1,453 | $52K |
| 2023 | 1,031 | $35K |
| 2024 | 750 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,944 | 1,909 | $82K |
| S0621 | Routine ophthalmological exa | 394 | 394 | $54K |
| V2100 | Lens spher single plano 4.00 | 720 | 346 | $14K |
| 92340 | 460 | 460 | $9K | |
| 92004 | 89 | 89 | $3K | |
| 92012 | 38 | 38 | $3K | |
| S0620 | Routine ophthalmological exa | 49 | 49 | $2K |
| V2784 | Lens polycarb or equal | 950 | 459 | $1K |
| 92014 | 16 | 16 | $818.36 |