NPI: 1023106309 · BLUE ISLAND, IL 60406 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,404 | $47K |
| 2019 | 1,217 | $39K |
| 2020 | 1,296 | $38K |
| 2021 | 823 | $27K |
| 2022 | 378 | $10K |
| 2023 | 797 | $21K |
| 2024 | 1,237 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,147 | 1,026 | $51K | |
| 92340 | 1,676 | 1,456 | $47K | |
| 92014 | 867 | 755 | $37K | |
| 92015 | 1,762 | 1,564 | $29K | |
| V2100 | Lens spher single plano 4.00 | 348 | 256 | $19K |
| V2020 | Vision svcs frames purchases | 408 | 408 | $13K |
| 92012 | 288 | 265 | $11K | |
| V2025 | Eyeglasses delux frames | 296 | 204 | $3K |
| V2784 | Lens polycarb or equal | 251 | 251 | $3K |
| 92341 | 26 | 26 | $753.30 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 44 | 44 | $478.50 |
| 92083 | 12 | 12 | $261.80 | |
| 92250 | 13 | 13 | $246.23 | |
| 99213 | 14 | 12 | $113.40 |