NPI: 1427427418 · CHICAGO HEIGHTS, IL 60411 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,311 | $211K |
| 2019 | 6,723 | $178K |
| 2020 | 6,243 | $172K |
| 2021 | 5,612 | $152K |
| 2022 | 3,598 | $94K |
| 2023 | 2,148 | $59K |
| 2024 | 1,816 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,431 | 5,059 | $230K | |
| 92004 | 3,381 | 3,161 | $151K | |
| 92340 | 4,838 | 4,616 | $140K | |
| 92015 | 7,782 | 7,495 | $132K | |
| V2100 | Lens spher single plano 4.00 | 3,242 | 2,832 | $99K |
| V2020 | Vision svcs frames purchases | 2,972 | 2,782 | $50K |
| V2200 | Lens spher bifoc plano 4.00d | 745 | 622 | $40K |
| 92012 | 779 | 640 | $35K | |
| V2025 | Eyeglasses delux frames | 1,613 | 1,275 | $30K |
| V2784 | Lens polycarb or equal | 1,196 | 1,138 | $8K |
| 99213 | 51 | 31 | $1K | |
| S0621 | Routine ophthalmological exa | 15 | 15 | $666.75 |
| 3072F | 246 | 244 | $0.00 | |
| 2023F | 75 | 73 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 63 | 54 | $0.00 |
| V2750 | Anti-reflective coating | 22 | 13 | $0.00 |