NPI: 743033381
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,148 | $320K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,092 | 2,046 | $94K |
| 92014 | 1,106 | 1,081 | $41K | |
| 92004 | 977 | 959 | $37K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,122 | 1,103 | $34K |
| V2100 | Lens spher single plano 4.00 | 853 | 839 | $28K |
| 92002 | 591 | 581 | $22K | |
| V2750 | Anti-reflective coating | 780 | 565 | $12K |
| V2520 | Contact lens hydrophilic | 128 | 126 | $10K |
| 92340 | 1,008 | 992 | $10K | |
| S0500 | Dispos cont lens | 93 | 89 | $8K |
| V2799 | Misc vision item or service | 1,180 | 1,151 | $6K |
| V2744 | Tint photochromatic lens/es | 221 | 139 | $5K |
| 92310 | 190 | 186 | $4K | |
| 92012 | 96 | 94 | $4K | |
| V2107 | Spherocylinder 4.25d/12-2d | 115 | 114 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 93 | 93 | $2K |
| V2784 | Lens polycarb or equal | 1,574 | 1,556 | $0.00 |
| 92250 | 68 | 67 | $0.00 | |
| 92015 | 1,861 | 1,824 | $0.00 |