NPI: 1467081919 · GLENVIEW, IL 60026 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 37 | $1K |
| 2021 | 677 | $21K |
| 2022 | 1,467 | $43K |
| 2023 | 1,457 | $39K |
| 2024 | 1,226 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,157 | 1,121 | $51K | |
| 92015 | 1,679 | 1,627 | $26K | |
| 92340 | 707 | 658 | $21K | |
| V2020 | Vision svcs frames purchases | 491 | 491 | $17K |
| 92014 | 325 | 316 | $14K | |
| V2784 | Lens polycarb or equal | 310 | 310 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 169 | 169 | $2K |
| 92012 | 12 | 12 | $495.00 | |
| V2100 | Lens spher single plano 4.00 | 14 | 14 | $153.70 |