NPI: 1629223797 · MANCHESTER, KY 40962 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 922 | $63K |
| 2019 | 1,087 | $62K |
| 2020 | 2,407 | $86K |
| 2021 | 3,480 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,462 | 1,335 | $117K | |
| 92014 | 1,539 | 1,418 | $91K | |
| V2020 | Vision svcs frames purchases | 1,172 | 1,130 | $33K |
| 92340 | 1,193 | 1,152 | $28K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 596 | 572 | $13K |
| 99203 | 451 | 433 | $8K | |
| 99213 | 401 | 368 | $7K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 120 | 115 | $6K |
| 92002 | 110 | 106 | $5K | |
| V2784 | Lens polycarb or equal | 601 | 580 | $5K |
| V2100 | Lens spher single plano 4.00 | 159 | 148 | $3K |
| 92012 | 13 | 12 | $563.04 | |
| V2107 | Spherocylinder 4.25d/12-2d | 15 | 14 | $366.21 |
| 92015 | 46 | 46 | $0.00 | |
| 99202 | 18 | 13 | $0.00 |