NPI: 1538127550 · WESTLAKE, OH 44145 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 4,634 | $81K |
| 2021 | 3,236 | $58K |
| 2022 | 4,368 | $79K |
| 2023 | 1,124 | $13K |
| 2024 | 1,708 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 3,283 | 3,241 | $76K |
| V2020 | Vision svcs frames purchases | 4,008 | 3,953 | $66K |
| 92014 | 1,023 | 1,014 | $42K | |
| 92004 | 782 | 776 | $32K | |
| V2784 | Lens polycarb or equal | 3,066 | 3,025 | $26K |
| V2200 | Lens spher bifoc plano 4.00d | 199 | 199 | $7K |
| V2299 | Lens bifocal speciality | 53 | 51 | $2K |
| 92015 | 2,007 | 1,989 | $791.54 | |
| V2744 | Tint photochromatic lens/es | 165 | 164 | $80.00 |
| V2750 | Anti-reflective coating | 431 | 428 | $0.00 |
| V2781 | Progressive lens per lens | 53 | 51 | $0.00 |