NPI: 1164654372 · LOMBARD, IL 60148 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,771 | $98K |
| 2019 | 3,077 | $106K |
| 2020 | 3,591 | $122K |
| 2021 | 2,909 | $100K |
| 2022 | 3,969 | $106K |
| 2023 | 4,385 | $111K |
| 2024 | 3,112 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,443 | 4,017 | $187K | |
| 92004 | 2,665 | 2,359 | $117K | |
| V2100 | Lens spher single plano 4.00 | 1,867 | 1,519 | $83K |
| 92015 | 5,360 | 4,946 | $80K | |
| 92340 | 2,855 | 2,621 | $75K | |
| 92012 | 1,348 | 1,145 | $61K | |
| V2020 | Vision svcs frames purchases | 1,691 | 1,667 | $60K |
| V2025 | Eyeglasses delux frames | 1,483 | 1,176 | $26K |
| V2784 | Lens polycarb or equal | 917 | 900 | $12K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 787 | 772 | $9K |
| V2200 | Lens spher bifoc plano 4.00d | 86 | 82 | $6K |
| S0620 | Routine ophthalmological exa | 61 | 61 | $3K |
| S0621 | Routine ophthalmological exa | 40 | 40 | $2K |
| 99213 | 44 | 41 | $2K | |
| 92341 | 58 | 51 | $2K | |
| 83861 | 38 | 20 | $590.40 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 39 | 38 | $357.29 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $261.03 |
| 99072 | 19 | 18 | $20.00 |