NPI: 1316163892 · WHEELING, IL 60090 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,739 | $99K |
| 2023 | 6,695 | $172K |
| 2024 | 4,038 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,796 | 1,783 | $76K | |
| V2020 | Vision svcs frames purchases | 2,026 | 2,015 | $74K |
| 92014 | 1,643 | 1,626 | $70K | |
| 92340 | 2,802 | 2,788 | $68K | |
| 92015 | 3,473 | 3,443 | $48K | |
| V2100 | Lens spher single plano 4.00 | 1,909 | 1,898 | $24K |
| V2784 | Lens polycarb or equal | 642 | 641 | $8K |
| V2025 | Eyeglasses delux frames | 106 | 100 | $4K |
| 92341 | 51 | 39 | $1K | |
| V2200 | Lens spher bifoc plano 4.00d | 24 | 24 | $587.61 |