NPI: 1386817682 · BLOOMINGDALE, IL 60108 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,623 | $263K |
| 2019 | 6,445 | $204K |
| 2020 | 6,678 | $214K |
| 2021 | 3,919 | $123K |
| 2022 | 5,365 | $155K |
| 2023 | 5,507 | $146K |
| 2024 | 4,714 | $131K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 7,102 | 6,331 | $310K | |
| 92340 | 7,207 | 6,594 | $199K | |
| 92004 | 3,685 | 3,277 | $166K | |
| V2100 | Lens spher single plano 4.00 | 4,241 | 3,512 | $158K |
| 92015 | 8,463 | 7,851 | $131K | |
| V2020 | Vision svcs frames purchases | 2,952 | 2,754 | $88K |
| 92012 | 1,350 | 1,136 | $61K | |
| V2025 | Eyeglasses delux frames | 2,728 | 2,148 | $55K |
| V2200 | Lens spher bifoc plano 4.00d | 427 | 309 | $38K |
| 99213 | 313 | 266 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 906 | 876 | $10K |
| V2784 | Lens polycarb or equal | 449 | 437 | $6K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 142 | 132 | $1K |
| 99203 | 26 | 26 | $1K | |
| 92250 | 12 | 12 | $532.80 | |
| 92341 | 12 | 12 | $337.68 | |
| V2750 | Anti-reflective coating | 213 | 116 | $0.00 |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 23 | 13 | $0.00 |