NPI: 1174799530 · SOUTHFIELD, MI 48076 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,131 | $61K |
| 2019 | 5,630 | $161K |
| 2020 | 3,991 | $107K |
| 2021 | 2,497 | $61K |
| 2022 | 4,672 | $107K |
| 2023 | 3,163 | $50K |
| 2024 | 4,085 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,726 | 6,706 | $157K |
| S0621 | Routine ophthalmological exa | 3,254 | 3,254 | $113K |
| S0620 | Routine ophthalmological exa | 2,989 | 2,988 | $104K |
| 92340 | 6,008 | 5,988 | $90K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,164 | 4,153 | $50K |
| V2100 | Lens spher single plano 4.00 | 1,151 | 1,148 | $13K |
| 92341 | 702 | 701 | $12K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 516 | 512 | $8K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 263 | 263 | $3K |
| V2107 | Spherocylinder 4.25d/12-2d | 65 | 65 | $772.90 |
| V2784 | Lens polycarb or equal | 331 | 331 | $0.00 |