NPI: 1265597066 · MONTICELLO, KY 42633 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,925 | $146K |
| 2019 | 4,381 | $236K |
| 2020 | 4,454 | $196K |
| 2021 | 5,358 | $235K |
| 2022 | 4,098 | $226K |
| 2023 | 1,000 | $47K |
| 2024 | 567 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 6,903 | 6,529 | $441K | |
| 92340 | 5,245 | 4,872 | $312K | |
| 92004 | 2,474 | 2,360 | $214K | |
| 99213 | 1,486 | 1,177 | $50K | |
| 92015 | 4,435 | 4,180 | $25K | |
| 92341 | 331 | 321 | $21K | |
| 92370 | 554 | 516 | $15K | |
| V2020 | Vision svcs frames purchases | 851 | 569 | $12K |
| 92065 | 57 | 26 | $2K | |
| 97530 | 53 | 25 | $1K | |
| S0516 | Safety frames | 53 | 53 | $846.94 |
| 97112 | 34 | 12 | $651.96 | |
| S0504 | Singl prscrp lens | 53 | 53 | $478.52 |
| V2100 | Lens spher single plano 4.00 | 16 | 14 | $443.10 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 24 | 16 | $232.00 |
| V2784 | Lens polycarb or equal | 148 | 77 | $230.00 |
| S9999 | Sales tax | 66 | 66 | $145.98 |