NPI: 1205266061 · RIVERVIEW, MI 48193 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 709 | $16K |
| 2019 | 347 | $8K |
| 2020 | 454 | $11K |
| 2021 | 773 | $17K |
| 2022 | 716 | $16K |
| 2023 | 771 | $15K |
| 2024 | 626 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,355 | 1,341 | $38K |
| 92340 | 1,233 | 1,214 | $24K | |
| 92250 | 781 | 767 | $15K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 494 | 482 | $6K |
| S0621 | Routine ophthalmological exa | 76 | 72 | $3K |
| S0620 | Routine ophthalmological exa | 63 | 62 | $3K |
| 92015 | 332 | 325 | $2K | |
| 92004 | 12 | 12 | $957.99 | |
| 92014 | 13 | 13 | $882.00 | |
| 92341 | 25 | 25 | $551.52 | |
| V2784 | Lens polycarb or equal | 12 | 12 | $18.00 |