NPI: 1023196755 · INDIANAPOLIS, IN 46204 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,182 | $105K |
| 2019 | 4,135 | $129K |
| 2020 | 3,270 | $98K |
| 2021 | 3,104 | $87K |
| 2022 | 1,817 | $52K |
| 2023 | 882 | $29K |
| 2024 | 492 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,861 | 2,649 | $158K | |
| 92014 | 2,060 | 1,911 | $97K | |
| V2020 | Vision svcs frames purchases | 2,645 | 2,473 | $71K |
| 92015 | 5,190 | 4,820 | $66K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,157 | 1,075 | $55K |
| V2755 | Uv lens/es | 2,187 | 2,038 | $42K |
| V2745 | Tint, any color/solid/grad | 1,690 | 1,595 | $21K |
| V2100 | Lens spher single plano 4.00 | 92 | 90 | $4K |