NPI: 1104314640 · FT MITCHELL, KY 41017 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 134 | $2K |
| 2020 | 760 | $14K |
| 2021 | 1,704 | $41K |
| 2022 | 2,125 | $51K |
| 2023 | 1,201 | $28K |
| 2024 | 297 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,087 | 1,050 | $44K |
| 92014 | 384 | 368 | $25K | |
| 92340 | 884 | 857 | $23K | |
| 92004 | 190 | 187 | $17K | |
| V2100 | Lens spher single plano 4.00 | 932 | 901 | $16K |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 166 | 164 | $5K |
| V2784 | Lens polycarb or equal | 521 | 503 | $4K |
| 92015 | 1,188 | 1,129 | $4K | |
| V2755 | Uv lens/es | 175 | 173 | $2K |
| V2760 | Scratch resistant coating | 694 | 674 | $1K |