NPI: 1972943173 · GERMANTOWN, MD 20876 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 8,295 | $134K |
| 2021 | 3,233 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,100 | 954 | $78K | |
| 92015 | 3,317 | 2,864 | $44K | |
| 92004 | 559 | 482 | $40K | |
| V2020 | Vision svcs frames purchases | 2,070 | 1,729 | $26K |
| 92340 | 1,036 | 928 | $14K | |
| V2750 | Anti-reflective coating | 383 | 324 | $0.00 |
| S9986 | Not medically necessary svc | 36 | 29 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 1,667 | 1,379 | $0.00 |
| V2784 | Lens polycarb or equal | 1,360 | 1,122 | $0.00 |