NPI: 1336218007 · CHICAGO, IL 60643 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,327 | $60K |
| 2019 | 1,899 | $60K |
| 2020 | 2,708 | $82K |
| 2021 | 2,071 | $61K |
| 2022 | 2,202 | $58K |
| 2023 | 1,937 | $49K |
| 2024 | 1,850 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,589 | 2,361 | $113K | |
| 92015 | 3,735 | 3,494 | $63K | |
| 92340 | 1,951 | 1,837 | $55K | |
| 92014 | 1,314 | 1,199 | $54K | |
| V2200 | Lens spher bifoc plano 4.00d | 274 | 194 | $28K |
| V2100 | Lens spher single plano 4.00 | 984 | 938 | $26K |
| V2020 | Vision svcs frames purchases | 1,310 | 1,269 | $21K |
| 92341 | 590 | 521 | $17K | |
| V2025 | Eyeglasses delux frames | 657 | 520 | $15K |
| 92012 | 202 | 179 | $9K | |
| V2599 | Contact lens/es other type | 51 | 40 | $9K |
| 92310 | 43 | 40 | $2K | |
| S0620 | Routine ophthalmological exa | 45 | 45 | $2K |
| V2784 | Lens polycarb or equal | 175 | 174 | $2K |
| 92133 | 25 | 25 | $491.81 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 31 | 31 | $308.40 |
| V2781 | Progressive lens per lens | 18 | 18 | $0.00 |