NPI: 1619024999 · PAINTSVILLE, KY 41240 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,617 | $358K |
| 2019 | 10,371 | $324K |
| 2020 | 2,938 | $92K |
| 2021 | 4,816 | $154K |
| 2022 | 6,016 | $185K |
| 2023 | 3,225 | $103K |
| 2024 | 3,279 | $98K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,306 | 5,178 | $346K | |
| 92004 | 3,908 | 3,815 | $346K | |
| V2020 | Vision svcs frames purchases | 7,652 | 6,980 | $187K |
| 92340 | 5,846 | 5,762 | $171K | |
| V2100 | Lens spher single plano 4.00 | 5,729 | 5,484 | $115K |
| 92341 | 1,137 | 1,125 | $30K | |
| V2784 | Lens polycarb or equal | 4,004 | 3,710 | $28K |
| 92015 | 1,983 | 1,846 | $24K | |
| V2200 | Lens spher bifoc plano 4.00d | 767 | 738 | $21K |
| 99213 | 495 | 468 | $19K | |
| V2760 | Scratch resistant coating | 3,381 | 3,314 | $7K |
| 92370 | 178 | 175 | $5K | |
| 92133 | 114 | 113 | $4K | |
| 92002 | 72 | 72 | $4K | |
| 92250 | 84 | 80 | $3K | |
| 92020 | 134 | 131 | $2K | |
| 99203 | 15 | 13 | $1K | |
| 76514 | 100 | 98 | $801.59 | |
| S0516 | Safety frames | 47 | 47 | $751.06 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 111 | 58 | $528.00 |
| S0504 | Singl prscrp lens | 50 | 50 | $446.06 |
| S9999 | Sales tax | 149 | 148 | $214.29 |