NPI: 1508856923 · PEORIA, IL 61615 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 92,836 | $1.62M |
| 2019 | 217,745 | $3.60M |
| 2020 | 127,668 | $2.09M |
| 2021 | 115,447 | $1.88M |
| 2022 | 109,020 | $1.69M |
| 2023 | 107,118 | $1.69M |
| 2024 | 97,144 | $1.56M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 260,200 | 246,405 | $6.11M |
| V2784 | Lens polycarb or equal | 197,636 | 187,802 | $2.33M |
| V2020 | Vision svcs frames purchases | 305,552 | 289,556 | $2.26M |
| V2200 | Lens spher bifoc plano 4.00d | 47,814 | 45,083 | $1.68M |
| 92340 | 42,103 | 39,882 | $1.24M | |
| 92341 | 11,702 | 11,148 | $338K | |
| V2715 | Prism lens/es | 488 | 464 | $78K |
| 92012 | 1,212 | 940 | $55K | |
| V2300 | Lens sphere trifocal 4.00d | 140 | 106 | $30K |
| S0621 | Routine ophthalmological exa | 33 | 32 | $1K |
| BARDOPTI | 98 | 98 | $0.00 |