NPI: 1326262817 · HAZEL PARK, MI 48030 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,498 | $200K |
| 2019 | 10,912 | $242K |
| 2020 | 10,826 | $235K |
| 2021 | 12,405 | $233K |
| 2022 | 15,089 | $310K |
| 2023 | 12,904 | $283K |
| 2024 | 9,267 | $210K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,787 | 2,741 | $196K | |
| 92012 | 4,689 | 4,382 | $190K | |
| 92014 | 3,588 | 3,527 | $182K | |
| 92340 | 8,317 | 7,797 | $125K | |
| V2020 | Vision svcs frames purchases | 4,111 | 4,071 | $114K |
| 92250 | 5,496 | 5,456 | $95K | |
| 92015 | 7,696 | 7,532 | $83K | |
| 92083 | 2,483 | 2,468 | $75K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 5,422 | 3,453 | $72K |
| 92273 | 1,870 | 1,855 | $71K | |
| 76512 | 2,258 | 2,233 | $57K | |
| 92133 | 3,444 | 3,406 | $57K | |
| 92285 | 5,634 | 5,573 | $51K | |
| 68110 | 421 | 395 | $47K | |
| 92136 | 1,903 | 1,892 | $45K | |
| 92134 | 2,460 | 2,435 | $41K | |
| 99244 | 341 | 336 | $34K | |
| 92341 | 1,800 | 1,662 | $31K | |
| 92275 | 551 | 543 | $29K | |
| 76514 | 5,449 | 5,397 | $26K | |
| 92020 | 1,319 | 1,290 | $16K | |
| 68801 | 286 | 258 | $14K | |
| 67840 | 130 | 98 | $13K | |
| S0620 | Routine ophthalmological exa | 172 | 172 | $8K |
| 99213 | 162 | 158 | $6K | |
| S0621 | Routine ophthalmological exa | 161 | 161 | $6K |
| 68020 | 95 | 87 | $6K | |
| 67210 | 43 | 40 | $5K | |
| 76513 | 172 | 170 | $5K | |
| 68340 | 13 | 12 | $4K | |
| V2204 | Lens sphcy bifocal 4.00d/2.1 | 208 | 105 | $2K |
| 66821 | 13 | 12 | $931.06 | |
| 67850 | 15 | 12 | $789.75 | |
| 67820 | 71 | 64 | $710.01 | |
| V2756 | Eye glass case | 1,347 | 1,333 | $226.70 |
| 2022F | 356 | 346 | $0.22 | |
| 3008F | 1,059 | 1,046 | $0.00 | |
| G8397 | Dil macula/fundus exam/w doc | 194 | 192 | $0.00 |
| 1036F | 646 | 636 | $0.00 | |
| G8950 | Pre-htn or htn doc, f/u indc | 671 | 659 | $0.00 |
| 2023F | 142 | 142 | $0.00 | |
| 3288F | 696 | 687 | $0.00 | |
| 5010F | 443 | 434 | $0.00 | |
| G8731 | Pain neg no plan | 84 | 82 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 1,356 | 1,336 | $0.00 |
| 2027F | 327 | 319 | $0.00 |