NPI: 1720114499 · CREST HILL, IL 60403 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,857 | $103K |
| 2019 | 3,387 | $112K |
| 2020 | 3,069 | $101K |
| 2021 | 1,079 | $36K |
| 2022 | 111 | $3K |
| 2023 | 3,668 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,231 | 2,801 | $134K | |
| 92015 | 3,672 | 3,339 | $60K | |
| V2100 | Lens spher single plano 4.00 | 1,037 | 808 | $53K |
| 92004 | 1,157 | 1,035 | $50K | |
| 92340 | 1,416 | 1,207 | $42K | |
| 92012 | 748 | 603 | $34K | |
| V2020 | Vision svcs frames purchases | 386 | 385 | $15K |
| V2200 | Lens spher bifoc plano 4.00d | 102 | 71 | $14K |
| V2025 | Eyeglasses delux frames | 759 | 574 | $8K |
| 92083 | 250 | 239 | $8K | |
| 99213 | 180 | 166 | $7K | |
| 92285 | 187 | 167 | $6K | |
| V2784 | Lens polycarb or equal | 359 | 359 | $5K |
| 92133 | 171 | 158 | $4K | |
| 92250 | 85 | 83 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 244 | 244 | $3K |
| 92341 | 86 | 86 | $2K | |
| 99212 | 75 | 70 | $2K | |
| 99214 | 26 | 25 | $2K |