NPI: 1073513057 · MURRAY, KY 42071 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 171 | $2K |
| 2022 | 450 | $7K |
| 2023 | 1,977 | $51K |
| 2024 | 2,014 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 496 | 483 | $34K | |
| 92004 | 286 | 283 | $26K | |
| V2020 | Vision svcs frames purchases | 606 | 577 | $18K |
| 92340 | 637 | 627 | $17K | |
| V2100 | Lens spher single plano 4.00 | 885 | 478 | $9K |
| V2784 | Lens polycarb or equal | 362 | 324 | $2K |
| V2760 | Scratch resistant coating | 379 | 372 | $602.00 |
| V2750 | Anti-reflective coating | 25 | 24 | $246.74 |
| 92015 | 920 | 899 | $181.98 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 16 | 14 | $103.72 |