NPI: 1700875887 · INDIANAPOLIS, IN 46226 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,605 | $162K |
| 2019 | 7,392 | $330K |
| 2020 | 7,556 | $381K |
| 2021 | 11,972 | $615K |
| 2022 | 11,906 | $593K |
| 2023 | 13,873 | $718K |
| 2024 | 9,364 | $689K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 7,928 | 7,583 | $764K | |
| 92004 | 6,217 | 5,942 | $749K | |
| V2020 | Vision svcs frames purchases | 16,514 | 15,241 | $682K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 7,401 | 6,834 | $366K |
| 92015 | 17,265 | 16,407 | $267K | |
| V2100 | Lens spher single plano 4.00 | 3,101 | 2,886 | $154K |
| V2410 | Lens variab asphericity sing | 892 | 781 | $133K |
| 92002 | 1,794 | 1,649 | $103K | |
| V2755 | Uv lens/es | 3,356 | 3,062 | $87K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,079 | 965 | $83K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,132 | 1,082 | $51K |
| V2784 | Lens polycarb or equal | 578 | 433 | $25K |
| V2200 | Lens spher bifoc plano 4.00d | 211 | 196 | $15K |
| V2107 | Spherocylinder 4.25d/12-2d | 110 | 101 | $6K |
| 92310 | 75 | 70 | $903.00 | |
| V2750 | Anti-reflective coating | 15 | 14 | $70.00 |