NPI: 1386836518 · BLOOMINGTON, IL 61701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,122 | $58K |
| 2019 | 3,410 | $98K |
| 2020 | 9,477 | $261K |
| 2021 | 10,216 | $323K |
| 2022 | 7,217 | $222K |
| 2023 | 9,514 | $268K |
| 2024 | 5,054 | $160K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 8,529 | 7,676 | $282K | |
| 92014 | 6,140 | 5,621 | $234K | |
| 92004 | 4,782 | 4,282 | $207K | |
| 92015 | 11,022 | 10,054 | $189K | |
| 92340 | 4,762 | 4,148 | $133K | |
| V2020 | Vision svcs frames purchases | 2,734 | 2,631 | $101K |
| 92341 | 1,710 | 1,492 | $46K | |
| 99214 | 1,055 | 937 | $44K | |
| 92083 | 1,466 | 1,384 | $34K | |
| 92012 | 800 | 708 | $27K | |
| V2100 | Lens spher single plano 4.00 | 673 | 637 | $23K |
| 99213 | 658 | 572 | $20K | |
| 92273 | 318 | 307 | $17K | |
| 92133 | 506 | 474 | $10K | |
| V2784 | Lens polycarb or equal | 738 | 709 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 710 | 679 | $7K |
| V2200 | Lens spher bifoc plano 4.00d | 43 | 39 | $3K |
| V2025 | Eyeglasses delux frames | 135 | 128 | $2K |
| 92284 | 86 | 83 | $1K | |
| 99203 | 26 | 24 | $666.21 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 40 | 28 | $398.71 |
| 92285 | 15 | 13 | $337.89 | |
| 92002 | 15 | 12 | $219.66 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $89.97 |
| 76514 | 20 | 17 | $64.75 | |
| 2026F | 15 | 15 | $0.00 |