NPI: 1710039003 · BLOOMINGTON, IL 61705 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,663 | $121K |
| 2019 | 4,701 | $151K |
| 2020 | 4,592 | $144K |
| 2021 | 4,159 | $131K |
| 2022 | 3,789 | $102K |
| 2023 | 4,104 | $109K |
| 2024 | 2,654 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 6,137 | 5,672 | $278K | |
| 92014 | 4,252 | 3,883 | $192K | |
| 92340 | 6,455 | 5,829 | $192K | |
| 92015 | 7,844 | 7,118 | $141K | |
| V2020 | Vision svcs frames purchases | 1,190 | 1,129 | $16K |
| 92250 | 303 | 256 | $13K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 564 | 542 | $7K |
| V2784 | Lens polycarb or equal | 702 | 688 | $4K |
| 92341 | 72 | 66 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 29 | 29 | $392.00 |
| V2025 | Eyeglasses delux frames | 33 | 32 | $330.00 |
| V2100 | Lens spher single plano 4.00 | 16 | 16 | $201.50 |
| 3072F | 65 | 65 | $0.00 |