NPI: 1063179091 · PADUCAH, KY 42001 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,253 | $40K |
| 2023 | 3,913 | $84K |
| 2024 | 4,062 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,096 | 1,079 | $65K | |
| V2020 | Vision svcs frames purchases | 1,862 | 1,600 | $38K |
| 92004 | 438 | 433 | $32K | |
| 92340 | 1,145 | 1,124 | $30K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,726 | 998 | $14K |
| V2784 | Lens polycarb or equal | 1,092 | 876 | $5K |
| 99214 | 107 | 98 | $5K | |
| V2755 | Uv lens/es | 396 | 390 | $5K |
| V2100 | Lens spher single plano 4.00 | 380 | 250 | $3K |
| 92015 | 1,746 | 1,710 | $1K | |
| 92250 | 44 | 39 | $1K | |
| S0516 | Safety frames | 39 | 39 | $624.24 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 46 | 25 | $435.00 |
| S0504 | Singl prscrp lens | 39 | 39 | $357.74 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 22 | 15 | $152.00 |
| S9999 | Sales tax | 50 | 50 | $76.53 |