NPI: 1013972405 · SHELBYVILLE, KY 40065 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,488 | $100K |
| 2019 | 1,982 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 416 | 398 | $29K | |
| 92065 | 860 | 337 | $23K | |
| 92004 | 204 | 202 | $19K | |
| 97530 | 861 | 337 | $19K | |
| 97112 | 853 | 334 | $18K | |
| V2020 | Vision svcs frames purchases | 367 | 348 | $9K |
| 92340 | 267 | 259 | $9K | |
| V2100 | Lens spher single plano 4.00 | 327 | 309 | $8K |
| V2784 | Lens polycarb or equal | 352 | 334 | $4K |
| 96111 | 91 | 82 | $4K | |
| 92060 | 108 | 98 | $4K | |
| 99213 | 77 | 68 | $3K | |
| 96112 | 16 | 15 | $650.00 | |
| 99212 | 13 | 12 | $355.83 | |
| 92015 | 658 | 626 | $131.10 |