NPI: 1619966645 · BURBANK, IL 60459 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,524 | $153K |
| 2019 | 4,839 | $152K |
| 2020 | 4,419 | $163K |
| 2021 | 5,544 | $211K |
| 2022 | 5,358 | $161K |
| 2023 | 1,597 | $45K |
| 2024 | 5,928 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,088 | 4,697 | $218K | |
| 92004 | 4,557 | 4,117 | $201K | |
| V2100 | Lens spher single plano 4.00 | 3,271 | 2,827 | $164K |
| 92012 | 2,609 | 2,076 | $116K | |
| 92015 | 6,953 | 6,370 | $104K | |
| V2020 | Vision svcs frames purchases | 2,447 | 2,252 | $56K |
| 99214 | 595 | 504 | $38K | |
| 92285 | 1,371 | 1,092 | $35K | |
| V2200 | Lens spher bifoc plano 4.00d | 241 | 196 | $27K |
| 99213 | 649 | 543 | $25K | |
| V2025 | Eyeglasses delux frames | 1,568 | 1,304 | $19K |
| 92250 | 449 | 381 | $15K | |
| V2784 | Lens polycarb or equal | 1,162 | 1,140 | $14K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 754 | 718 | $7K |
| 99204 | 115 | 109 | $7K | |
| 92340 | 158 | 157 | $4K | |
| 92083 | 33 | 24 | $1K | |
| 92225 | 13 | 12 | $631.32 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 16 | 16 | $117.84 |
| V2760 | Scratch resistant coating | 68 | 35 | $0.00 |
| V2750 | Anti-reflective coating | 92 | 53 | $0.00 |