NPI: 1558925586 · ERWIN, TN 37650 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,103 | $29K |
| 2020 | 2,616 | $74K |
| 2021 | 2,462 | $75K |
| 2022 | 2,232 | $59K |
| 2023 | 2,541 | $63K |
| 2024 | 1,962 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,603 | 1,491 | $93K | |
| 92014 | 2,085 | 1,964 | $84K | |
| 92015 | 2,834 | 2,678 | $65K | |
| 92340 | 1,532 | 1,475 | $43K | |
| V2784 | Lens polycarb or equal | 774 | 743 | $21K |
| V2020 | Vision svcs frames purchases | 2,109 | 1,992 | $19K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 538 | 522 | $19K |
| V2100 | Lens spher single plano 4.00 | 670 | 422 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 426 | 247 | $4K |
| V2200 | Lens spher bifoc plano 4.00d | 202 | 178 | $47.60 |
| V2744 | Tint photochromatic lens/es | 114 | 113 | $0.00 |
| V2750 | Anti-reflective coating | 29 | 29 | $0.00 |