NPI: 1528058443 · BLUE ISLAND, IL 60406 · 152WP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 233 | $9K |
| 2019 | 97 | $2K |
| 2020 | 157 | $4K |
| 2021 | 562 | $17K |
| 2022 | 1,222 | $38K |
| 2023 | 2,042 | $63K |
| 2024 | 1,263 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 820 | 750 | $49K | |
| 92285 | 1,584 | 1,457 | $37K | |
| 92250 | 930 | 871 | $33K | |
| 92015 | 815 | 765 | $15K | |
| V2020 | Vision svcs frames purchases | 268 | 253 | $10K |
| 99204 | 86 | 86 | $6K | |
| 83861 | 380 | 194 | $6K | |
| 92340 | 223 | 221 | $5K | |
| V2100 | Lens spher single plano 4.00 | 82 | 64 | $5K |
| V2784 | Lens polycarb or equal | 218 | 211 | $3K |
| S0620 | Routine ophthalmological exa | 43 | 42 | $2K |
| S0621 | Routine ophthalmological exa | 30 | 30 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 56 | 55 | $599.72 |
| V2025 | Eyeglasses delux frames | 41 | 34 | $449.60 |