NPI: 1548826951 · WAUKESHA, WI 53189 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,549 | $49K |
| 2022 | 2,262 | $68K |
| 2023 | 3,162 | $89K |
| 2024 | 2,535 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,928 | 2,541 | $86K |
| 92004 | 1,595 | 1,509 | $64K | |
| V2100 | Lens spher single plano 4.00 | 2,455 | 2,133 | $58K |
| 92014 | 1,025 | 940 | $43K | |
| V2784 | Lens polycarb or equal | 1,162 | 933 | $19K |
| 92340 | 140 | 136 | $3K | |
| V2200 | Lens spher bifoc plano 4.00d | 41 | 37 | $2K |
| 92250 | 48 | 47 | $1K | |
| 92015 | 114 | 112 | $1K |