NPI: 1720297203 · JOLIET, IL 60435 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,849 | $131K |
| 2019 | 3,951 | $124K |
| 2020 | 2,568 | $78K |
| 2021 | 2,173 | $68K |
| 2022 | 1,337 | $37K |
| 2023 | 1,924 | $55K |
| 2024 | 2,101 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,921 | 2,205 | $127K | |
| 92014 | 2,707 | 2,051 | $116K | |
| 92015 | 4,413 | 3,862 | $71K | |
| V2200 | Lens spher bifoc plano 4.00d | 702 | 545 | $56K |
| 92340 | 1,739 | 1,503 | $47K | |
| 92341 | 1,530 | 1,227 | $40K | |
| V2100 | Lens spher single plano 4.00 | 920 | 735 | $35K |
| V2020 | Vision svcs frames purchases | 1,063 | 1,009 | $26K |
| 92012 | 368 | 321 | $16K | |
| V2025 | Eyeglasses delux frames | 1,005 | 751 | $11K |
| V2784 | Lens polycarb or equal | 280 | 280 | $4K |
| S0620 | Routine ophthalmological exa | 19 | 19 | $855.00 |
| S0621 | Routine ophthalmological exa | 15 | 15 | $675.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 25 | 25 | $318.56 |
| 99072 | 181 | 171 | $0.00 | |
| S0581 | Nonstnd lens | 15 | 15 | $0.00 |