NPI: 1144900366 · RICHMOND, KY 40475 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 2,503 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 282 | 281 | $20K | |
| 92004 | 138 | 138 | $13K | |
| 92340 | 273 | 272 | $9K | |
| V2020 | Vision svcs frames purchases | 423 | 338 | $8K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 206 | 170 | $3K |
| 92015 | 466 | 464 | $3K | |
| V2784 | Lens polycarb or equal | 372 | 301 | $2K |
| 99213 | 17 | 14 | $682.08 | |
| V2760 | Scratch resistant coating | 238 | 238 | $474.02 |
| 92341 | 15 | 14 | $439.00 | |
| V2100 | Lens spher single plano 4.00 | 31 | 28 | $344.01 |
| S0516 | Safety frames | 14 | 14 | $223.72 |
| S0504 | Singl prscrp lens | 14 | 14 | $129.86 |
| S9999 | Sales tax | 14 | 14 | $24.84 |