NPI: 1619343712 · LEXINGTON, KY 40536 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 104 | $630.69 |
| 2019 | 32 | $80.88 |
| 2020 | 2,616 | $106K |
| 2021 | 7,422 | $229K |
| 2022 | 77 | $675.95 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 839 | 678 | $89K |
| V2025 | Eyeglasses delux frames | 1,392 | 1,267 | $62K |
| 92014 | 781 | 712 | $52K | |
| 92004 | 471 | 440 | $39K | |
| 99211 | 2,214 | 2,049 | $29K | |
| V2760 | Scratch resistant coating | 1,401 | 1,250 | $22K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,177 | 1,055 | $19K |
| V2020 | Vision svcs frames purchases | 898 | 767 | $16K |
| V2100 | Lens spher single plano 4.00 | 250 | 224 | $4K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 148 | 131 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 58 | 57 | $1K |
| V2730 | Special base curve | 53 | 47 | $947.92 |
| 99213 | 35 | 26 | $468.93 | |
| 92015 | 101 | 89 | $242.64 | |
| V2715 | Prism lens/es | 419 | 380 | $173.40 |
| V2756 | Eye glass case | 14 | 13 | $0.00 |