NPI: 1013243161 · WOODRIDGE, IL 60517 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,328 | $107K |
| 2019 | 3,618 | $123K |
| 2020 | 4,464 | $153K |
| 2021 | 3,868 | $129K |
| 2022 | 4,877 | $134K |
| 2023 | 4,952 | $128K |
| 2024 | 3,150 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,219 | 4,715 | $227K | |
| 92340 | 5,578 | 5,026 | $155K | |
| 92004 | 2,973 | 2,745 | $135K | |
| 92015 | 7,157 | 6,521 | $117K | |
| V2100 | Lens spher single plano 4.00 | 1,672 | 1,501 | $84K |
| V2020 | Vision svcs frames purchases | 1,554 | 1,551 | $51K |
| 92012 | 828 | 682 | $37K | |
| V2025 | Eyeglasses delux frames | 1,172 | 1,048 | $27K |
| V2784 | Lens polycarb or equal | 1,355 | 1,352 | $16K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 703 | 702 | $8K |
| 92341 | 18 | 18 | $513.36 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 28 | 28 | $248.82 |