NPI: 1396195228 · ELGIN, IL 60120 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,463 | $193K |
| 2019 | 66 | $375.00 |
| 2023 | 621 | $17K |
| 2024 | 1,125 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,459 | 1,153 | $65K | |
| 92004 | 726 | 583 | $35K | |
| 92015 | 1,816 | 1,650 | $30K | |
| 92340 | 928 | 807 | $27K | |
| V2100 | Lens spher single plano 4.00 | 509 | 312 | $25K |
| 83861 | 1,072 | 560 | $23K | |
| 99213 | 390 | 330 | $10K | |
| 92250 | 214 | 172 | $9K | |
| V2025 | Eyeglasses delux frames | 388 | 265 | $8K |
| 92012 | 200 | 191 | $4K | |
| V2020 | Vision svcs frames purchases | 248 | 169 | $4K |
| 92002 | 39 | 35 | $1K | |
| V2784 | Lens polycarb or equal | 124 | 124 | $942.22 |
| 99203 | 20 | 14 | $859.07 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 54 | 54 | $732.00 |
| 99212 | 16 | 16 | $368.00 | |
| 76514 | 48 | 43 | $289.15 | |
| V2750 | Anti-reflective coating | 24 | 12 | $0.00 |