NPI: 1073185179 · RICHMOND, KY 40475 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 486 | $27K |
| 2023 | 1,777 | $80K |
| 2024 | 3,308 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 890 | 881 | $61K | |
| 92340 | 918 | 907 | $43K | |
| 92004 | 464 | 459 | $42K | |
| V2020 | Vision svcs frames purchases | 859 | 638 | $14K |
| 92015 | 869 | 859 | $8K | |
| 92341 | 97 | 96 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 337 | 266 | $4K |
| V2784 | Lens polycarb or equal | 489 | 408 | $3K |
| 99213 | 54 | 50 | $2K | |
| V2760 | Scratch resistant coating | 417 | 414 | $824.00 |
| V2100 | Lens spher single plano 4.00 | 63 | 50 | $736.00 |
| S0516 | Safety frames | 29 | 29 | $463.42 |
| S0504 | Singl prscrp lens | 29 | 29 | $269.60 |
| S9999 | Sales tax | 56 | 54 | $101.79 |