NPI: 1013285394 · MILWAUKEE, WI 53216 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,725 | $26K |
| 2019 | 1,200 | $27K |
| 2020 | 2,036 | $37K |
| 2021 | 6,760 | $139K |
| 2022 | 7,168 | $137K |
| 2023 | 9,170 | $155K |
| 2024 | 8,034 | $137K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 8,103 | 7,366 | $138K | |
| 92014 | 3,512 | 3,177 | $121K | |
| V2020 | Vision svcs frames purchases | 7,798 | 6,590 | $115K |
| 92004 | 3,088 | 2,865 | $112K | |
| 92341 | 3,688 | 3,383 | $87K | |
| V2100 | Lens spher single plano 4.00 | 5,566 | 4,989 | $51K |
| V2200 | Lens spher bifoc plano 4.00d | 1,513 | 1,310 | $20K |
| 92015 | 2,208 | 1,848 | $9K | |
| V2784 | Lens polycarb or equal | 506 | 357 | $3K |
| V2300 | Lens sphere trifocal 4.00d | 17 | 17 | $416.00 |
| 92342 | 20 | 20 | $251.14 | |
| 92250 | 30 | 30 | $95.00 | |
| V2799 | Misc vision item or service | 13 | 13 | $0.00 |
| V2025 | Eyeglasses delux frames | 31 | 12 | $0.00 |