NPI: 1558732560 · YPSILANTI, MI 48197 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 871 | $21K |
| 2019 | 781 | $20K |
| 2020 | 580 | $14K |
| 2021 | 1,314 | $36K |
| 2022 | 1,050 | $24K |
| 2023 | 973 | $19K |
| 2024 | 177 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 1,511 | 1,484 | $34K | |
| V2020 | Vision svcs frames purchases | 1,168 | 1,143 | $32K |
| 92004 | 243 | 230 | $16K | |
| 92015 | 1,465 | 1,395 | $15K | |
| 92014 | 223 | 211 | $13K | |
| 99214 | 130 | 128 | $9K | |
| 92340 | 316 | 316 | $6K | |
| 99204 | 66 | 63 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 276 | 267 | $2K |
| S0620 | Routine ophthalmological exa | 40 | 40 | $2K |
| 92012 | 13 | 12 | $617.43 | |
| V2100 | Lens spher single plano 4.00 | 52 | 52 | $348.12 |
| G8427 | Docrev cur meds by elig clin | 66 | 66 | $0.00 |
| V2750 | Anti-reflective coating | 15 | 15 | $0.00 |
| V2784 | Lens polycarb or equal | 162 | 150 | $0.00 |