NPI: 1033725114 · EVANSTON, IL 60202 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 281 | $8K |
| 2022 | 933 | $25K |
| 2023 | 846 | $22K |
| 2024 | 1,026 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 539 | 537 | $24K | |
| 92015 | 1,202 | 1,194 | $18K | |
| 92014 | 396 | 395 | $17K | |
| V2020 | Vision svcs frames purchases | 358 | 353 | $11K |
| 92340 | 320 | 316 | $9K | |
| V2784 | Lens polycarb or equal | 219 | 218 | $3K |
| V2100 | Lens spher single plano 4.00 | 39 | 38 | $838.14 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 13 | 12 | $153.12 |