NPI: 1669434296 · CHICAGO, IL 60619 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 277 | $10K |
| 2019 | 884 | $21K |
| 2020 | 1,246 | $40K |
| 2021 | 654 | $23K |
| 2022 | 1,442 | $40K |
| 2023 | 1,909 | $51K |
| 2024 | 1,739 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 947 | 870 | $41K | |
| 92014 | 839 | 828 | $36K | |
| 92015 | 1,915 | 1,814 | $29K | |
| V2025 | Eyeglasses delux frames | 1,167 | 1,066 | $28K |
| 92012 | 366 | 329 | $16K | |
| V2200 | Lens spher bifoc plano 4.00d | 236 | 208 | $16K |
| 92340 | 571 | 537 | $16K | |
| V2020 | Vision svcs frames purchases | 710 | 688 | $15K |
| V2100 | Lens spher single plano 4.00 | 302 | 271 | $14K |
| V2784 | Lens polycarb or equal | 635 | 619 | $6K |
| S0620 | Routine ophthalmological exa | 106 | 101 | $5K |
| 92341 | 117 | 93 | $3K | |
| S0621 | Routine ophthalmological exa | 51 | 48 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 146 | 145 | $2K |
| V2102 | Singl visn sphere 7.12-20.00 | 29 | 28 | $364.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 14 | 13 | $234.58 |