NPI: 1679127021 · FRANKLIN PARK, IL 60131 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 104 | $3K |
| 2020 | 2,121 | $63K |
| 2021 | 3,135 | $89K |
| 2022 | 2,319 | $71K |
| 2024 | 106 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,842 | 1,684 | $83K | |
| 92015 | 2,865 | 2,592 | $51K | |
| 92014 | 1,101 | 957 | $46K | |
| 92340 | 993 | 973 | $29K | |
| V2020 | Vision svcs frames purchases | 268 | 268 | $6K |
| 92250 | 164 | 136 | $6K | |
| V2100 | Lens spher single plano 4.00 | 107 | 107 | $4K |
| 92341 | 55 | 51 | $2K | |
| 99213 | 39 | 37 | $964.81 | |
| 92285 | 34 | 32 | $921.20 | |
| V2784 | Lens polycarb or equal | 101 | 101 | $749.78 |
| 3072F | 216 | 216 | $0.00 |