NPI: 1023537750 · JOLIET, IL 60435 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20 | $385.03 |
| 2019 | 4,880 | $124K |
| 2020 | 5,940 | $152K |
| 2021 | 4,990 | $137K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,021 | 1,733 | $90K | |
| 92015 | 4,526 | 3,922 | $80K | |
| 92014 | 1,958 | 1,644 | $80K | |
| 92340 | 2,452 | 2,005 | $67K | |
| 92341 | 971 | 813 | $24K | |
| 99213 | 491 | 436 | $14K | |
| 99214 | 282 | 259 | $13K | |
| V2020 | Vision svcs frames purchases | 967 | 859 | $12K |
| 99204 | 134 | 126 | $8K | |
| V2025 | Eyeglasses delux frames | 177 | 150 | $8K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 528 | 375 | $4K |
| 92133 | 149 | 131 | $4K | |
| 92012 | 148 | 123 | $3K | |
| V2784 | Lens polycarb or equal | 692 | 428 | $3K |
| 92083 | 80 | 76 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 124 | 78 | $1K |
| V2100 | Lens spher single plano 4.00 | 85 | 57 | $643.50 |
| 92134 | 28 | 26 | $621.20 | |
| 99072 | 17 | 17 | $0.00 |