NPI: 1376545038 · JEFFERSONVILLE, IN 47130 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,091 | $56K |
| 2019 | 1,995 | $54K |
| 2020 | 1,863 | $45K |
| 2021 | 1,624 | $42K |
| 2022 | 238 | $7K |
| 2023 | 26 | $1K |
| 2024 | 355 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,363 | 1,301 | $84K | |
| 92004 | 521 | 501 | $44K | |
| V2020 | Vision svcs frames purchases | 1,421 | 1,316 | $29K |
| 92340 | 1,099 | 1,035 | $28K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 613 | 572 | $12K |
| V2784 | Lens polycarb or equal | 1,091 | 1,028 | $10K |
| 92015 | 1,867 | 1,775 | $10K | |
| 92250 | 51 | 48 | $1K | |
| V2755 | Uv lens/es | 47 | 42 | $845.88 |
| V2100 | Lens spher single plano 4.00 | 45 | 43 | $675.00 |
| V2101 | Single visn sphere 4.12-7.00 | 12 | 12 | $110.40 |
| 2023F | 62 | 62 | $0.00 |