NPI: 1427066406 · MONTICELLO, KY 42633 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,804 | $79K |
| 2019 | 3,240 | $84K |
| 2020 | 2,872 | $70K |
| 2021 | 4,080 | $94K |
| 2022 | 2,047 | $81K |
| 2023 | 2,337 | $95K |
| 2024 | 2,048 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,507 | 3,116 | $196K | |
| 92004 | 2,199 | 1,948 | $173K | |
| 92340 | 2,509 | 2,338 | $104K | |
| V2020 | Vision svcs frames purchases | 2,067 | 1,805 | $53K |
| 92015 | 5,453 | 4,780 | $23K | |
| 92341 | 284 | 258 | $15K | |
| V2100 | Lens spher single plano 4.00 | 714 | 653 | $12K |
| V2784 | Lens polycarb or equal | 1,139 | 1,048 | $8K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 440 | 400 | $7K |
| V2760 | Scratch resistant coating | 1,101 | 1,019 | $2K |
| 99213 | 15 | 13 | $426.30 |