NPI: 1447992615 · MANCHESTER, KY 40962 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,935 | $56K |
| 2023 | 6,427 | $186K |
| 2024 | 4,105 | $114K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,045 | 1,010 | $94K | |
| 92014 | 1,172 | 1,140 | $79K | |
| V2020 | Vision svcs frames purchases | 2,290 | 2,147 | $64K |
| 92340 | 2,035 | 1,955 | $61K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,215 | 1,144 | $21K |
| 99213 | 314 | 272 | $11K | |
| V2784 | Lens polycarb or equal | 1,193 | 1,128 | $9K |
| V2100 | Lens spher single plano 4.00 | 375 | 352 | $5K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 173 | 151 | $5K |
| V2781 | Progressive lens per lens | 122 | 122 | $4K |
| 99203 | 28 | 28 | $2K | |
| 92015 | 2,458 | 2,386 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 27 | 27 | $380.00 |
| 99199 | 20 | 15 | $0.00 |