NPI: 1649323411 · WAUKESHA, WI 53186 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,648 | $88K |
| 2019 | 8,583 | $94K |
| 2020 | 3,318 | $31K |
| 2021 | 2,536 | $31K |
| 2022 | 3,537 | $49K |
| 2023 | 3,346 | $43K |
| 2024 | 3,175 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 6,443 | 5,955 | $192K | |
| 92341 | 5,304 | 5,046 | $92K | |
| 92340 | 5,301 | 4,980 | $66K | |
| 92015 | 6,399 | 5,849 | $32K | |
| V2020 | Vision svcs frames purchases | 2,858 | 2,513 | $7K |
| 92004 | 73 | 58 | $3K | |
| V2025 | Eyeglasses delux frames | 2,168 | 1,898 | $3K |
| 92012 | 77 | 74 | $2K | |
| V2100 | Lens spher single plano 4.00 | 1,765 | 1,551 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 755 | 640 | $234.00 |