NPI: 1073694303 · CHAMPAIGN, IL 61821 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,649 | $329K |
| 2019 | 10,242 | $337K |
| 2020 | 3,823 | $126K |
| 2021 | 5,865 | $198K |
| 2022 | 2,012 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 7,405 | 6,831 | $303K | |
| 92014 | 4,505 | 4,196 | $182K | |
| 92004 | 3,700 | 3,451 | $172K | |
| 92015 | 7,481 | 6,988 | $133K | |
| 92225 | 3,932 | 2,227 | $132K | |
| 92340 | 3,168 | 3,044 | $88K | |
| 92134 | 1,611 | 1,408 | $32K | |
| 92226 | 289 | 171 | $9K | |
| V2020 | Vision svcs frames purchases | 202 | 190 | $4K |
| 92012 | 134 | 108 | $4K | |
| V2100 | Lens spher single plano 4.00 | 127 | 126 | $3K |
| 92133 | 37 | 24 | $811.63 |