NPI: 1154949147 · GRAYSON, KY 41143 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,421 | $91K |
| 2022 | 2,880 | $112K |
| 2023 | 2,755 | $100K |
| 2024 | 4,779 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,055 | 2,018 | $139K | |
| 92004 | 1,185 | 1,153 | $107K | |
| V2020 | Vision svcs frames purchases | 2,733 | 2,669 | $88K |
| 92340 | 2,169 | 2,129 | $70K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,780 | 1,737 | $41K |
| V2784 | Lens polycarb or equal | 1,182 | 1,151 | $9K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 286 | 284 | $7K |
| V2100 | Lens spher single plano 4.00 | 189 | 183 | $4K |
| V2760 | Scratch resistant coating | 1,202 | 1,167 | $2K |
| 92250 | 17 | 17 | $790.86 | |
| 99213 | 15 | 12 | $596.82 | |
| 99199 | 22 | 22 | $0.00 |