NPI: 1972789071 · ROCHESTER, NY 14621 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,957 | $832K |
| 2019 | 16,671 | $872K |
| 2020 | 14,423 | $793K |
| 2021 | 16,104 | $903K |
| 2022 | 14,507 | $804K |
| 2023 | 15,114 | $860K |
| 2024 | 13,853 | $775K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 34,615 | 34,329 | $1.53M |
| V2103 | Spherocylindr 4.00d/12-2.00d | 20,367 | 20,261 | $1.25M |
| V2200 | Lens spher bifoc plano 4.00d | 9,047 | 8,960 | $793K |
| 92004 | 6,129 | 6,129 | $718K | |
| 92014 | 6,016 | 6,015 | $588K | |
| V2100 | Lens spher single plano 4.00 | 4,884 | 4,864 | $332K |
| V2784 | Lens polycarb or equal | 2,996 | 2,987 | $207K |
| S0580 | Polycarb lens | 7,064 | 7,047 | $176K |
| 92015 | 6,067 | 6,066 | $92K | |
| 92341 | 4,338 | 4,334 | $87K | |
| 92340 | 3,898 | 3,884 | $58K | |
| 92370 | 1,208 | 1,195 | $8K |