NPI: 1740446640 · MONTICELLO, KY 42633 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,329 | $135K |
| 2019 | 3,406 | $98K |
| 2020 | 2,266 | $57K |
| 2021 | 2,934 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,498 | 1,357 | $121K | |
| 92014 | 1,535 | 1,452 | $99K | |
| 92340 | 1,681 | 1,565 | $67K | |
| V2020 | Vision svcs frames purchases | 1,382 | 1,234 | $39K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,021 | 923 | $18K |
| 92015 | 2,007 | 1,784 | $6K | |
| V2784 | Lens polycarb or equal | 841 | 754 | $6K |
| 99213 | 61 | 54 | $2K | |
| V2760 | Scratch resistant coating | 800 | 726 | $1K |
| 92370 | 46 | 43 | $1K | |
| 92341 | 37 | 36 | $910.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $339.00 |
| V2100 | Lens spher single plano 4.00 | 14 | 12 | $214.00 |