NPI: 1982911756 · HOMESTEAD, PA 15120 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 25 | $794.00 |
| 2020 | 537 | $19K |
| 2021 | 4,096 | $140K |
| 2022 | 4,456 | $166K |
| 2023 | 3,601 | $150K |
| 2024 | 4,080 | $176K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,543 | 5,738 | $259K |
| V2100 | Lens spher single plano 4.00 | 5,494 | 4,634 | $237K |
| 92014 | 1,141 | 1,114 | $46K | |
| V2784 | Lens polycarb or equal | 928 | 813 | $30K |
| 92004 | 611 | 593 | $25K | |
| V2750 | Anti-reflective coating | 654 | 549 | $18K |
| V2500 | Contact lens pmma spherical | 145 | 87 | $9K |
| 92340 | 343 | 264 | $7K | |
| S0621 | Routine ophthalmological exa | 194 | 194 | $6K |
| 92012 | 133 | 133 | $5K | |
| V2200 | Lens spher bifoc plano 4.00d | 92 | 72 | $4K |
| S0620 | Routine ophthalmological exa | 87 | 87 | $3K |
| V2521 | Cntct lens hydrophilic toric | 12 | 12 | $811.11 |
| V2520 | Contact lens hydrophilic | 12 | 12 | $697.99 |
| V2799 | Misc vision item or service | 394 | 272 | $20.00 |
| 92250 | 12 | 12 | $0.00 |