NPI: 1023674488 · JELLICO, TN 37762 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 331 | $13K |
| 2021 | 2,441 | $102K |
| 2022 | 2,099 | $88K |
| 2023 | 1,982 | $76K |
| 2024 | 225 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,780 | 1,723 | $103K | |
| 92014 | 1,402 | 1,376 | $92K | |
| 92004 | 833 | 808 | $72K | |
| 92015 | 2,527 | 2,414 | $10K | |
| 99213 | 112 | 94 | $4K | |
| V2020 | Vision svcs frames purchases | 326 | 216 | $802.50 |
| 92370 | 14 | 14 | $406.00 | |
| V2784 | Lens polycarb or equal | 66 | 46 | $60.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 18 | 12 | $48.00 |