NPI: 1134107899 · CINCINNATI, OH 45246 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 307 | $13K |
| 2021 | 5,156 | $102K |
| 2022 | 6,153 | $135K |
| 2023 | 5,105 | $70K |
| 2024 | 2,963 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 4,535 | 4,422 | $94K |
| 92014 | 2,455 | 2,392 | $89K | |
| V2020 | Vision svcs frames purchases | 4,930 | 4,814 | $66K |
| 92004 | 1,698 | 1,651 | $60K | |
| V2784 | Lens polycarb or equal | 4,134 | 4,027 | $35K |
| 92310 | 95 | 95 | $7K | |
| V2299 | Lens bifocal speciality | 39 | 39 | $1K |
| V2200 | Lens spher bifoc plano 4.00d | 49 | 49 | $1K |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 78 | 78 | $0.00 |
| V2744 | Tint photochromatic lens/es | 269 | 260 | $0.00 |
| V2781 | Progressive lens per lens | 39 | 39 | $0.00 |
| V2750 | Anti-reflective coating | 1,183 | 1,164 | $0.00 |
| 92015 | 180 | 168 | $0.00 |