NPI: 1417220369 · INDIANAPOLIS, IN 46240 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,410 | $27K |
| 2019 | 3,594 | $52K |
| 2020 | 1,519 | $23K |
| 2021 | 1,632 | $27K |
| 2022 | 4,614 | $28K |
| 2023 | 8,525 | $81K |
| 2024 | 11,191 | $200K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 8,570 | 7,750 | $118K | |
| 92004 | 4,463 | 4,039 | $80K | |
| 92250 | 8,015 | 7,144 | $80K | |
| 92273 | 5,026 | 3,627 | $55K | |
| 99308 | 2,979 | 2,139 | $29K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 495 | 463 | $24K |
| V2020 | Vision svcs frames purchases | 1,115 | 983 | $18K |
| 92012 | 1,945 | 1,738 | $9K | |
| V2784 | Lens polycarb or equal | 165 | 156 | $7K |
| 65778 | 89 | 70 | $6K | |
| 92015 | 491 | 457 | $6K | |
| 99307 | 806 | 553 | $4K | |
| V2200 | Lens spher bifoc plano 4.00d | 22 | 20 | $974.70 |
| V2204 | Lens sphcy bifocal 4.00d/2.1 | 14 | 14 | $900.00 |
| 99309 | 62 | 41 | $455.19 | |
| V2201 | Lens sphere bifocal 4.12-7.0 | 23 | 23 | $420.00 |
| 92002 | 34 | 33 | $411.18 | |
| 92341 | 171 | 145 | $0.00 |