NPI: 1396753059 · SPRINGFIELD, IL 62704 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,062 | $88K |
| 2019 | 5,772 | $182K |
| 2020 | 5,022 | $163K |
| 2021 | 4,593 | $127K |
| 2022 | 5,128 | $132K |
| 2023 | 4,897 | $114K |
| 2024 | 4,102 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,437 | 3,954 | $190K | |
| 92004 | 3,764 | 3,388 | $169K | |
| 92015 | 8,286 | 7,423 | $145K | |
| 92340 | 3,400 | 3,172 | $97K | |
| V2100 | Lens spher single plano 4.00 | 3,482 | 3,261 | $93K |
| V2025 | Eyeglasses delux frames | 1,273 | 1,186 | $73K |
| V2020 | Vision svcs frames purchases | 3,276 | 3,047 | $40K |
| 92012 | 870 | 831 | $39K | |
| V2784 | Lens polycarb or equal | 2,659 | 2,422 | $25K |
| V2200 | Lens spher bifoc plano 4.00d | 581 | 513 | $25K |
| 92341 | 373 | 358 | $11K | |
| 99212 | 68 | 64 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 94 | 86 | $1K |
| 92133 | 13 | 13 | $311.30 |