NPI: 1699241927 · FLORENCE, KY 41042 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 71 | $2K |
| 2021 | 688 | $19K |
| 2022 | 1,893 | $43K |
| 2023 | 4,550 | $110K |
| 2024 | 3,578 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 971 | 937 | $87K | |
| 92014 | 847 | 826 | $57K | |
| 92340 | 1,228 | 1,186 | $35K | |
| V2020 | Vision svcs frames purchases | 1,894 | 1,635 | $34K |
| V2100 | Lens spher single plano 4.00 | 1,441 | 1,349 | $24K |
| V2784 | Lens polycarb or equal | 1,422 | 1,217 | $9K |
| 92015 | 1,697 | 1,635 | $8K | |
| V2750 | Anti-reflective coating | 227 | 224 | $4K |
| V2760 | Scratch resistant coating | 624 | 584 | $1K |
| 99213 | 22 | 19 | $809.97 | |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 14 | 13 | $509.70 |
| S0504 | Singl prscrp lens | 44 | 44 | $423.44 |
| S0516 | Safety frames | 14 | 14 | $223.72 |
| S9999 | Sales tax | 89 | 89 | $144.90 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 13 | $132.00 |
| 2023F | 220 | 218 | $0.00 |