NPI: 1740447184 · INDIANAPOLIS, IN 46254 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,084 | $98K |
| 2019 | 3,709 | $161K |
| 2020 | 2,491 | $107K |
| 2021 | 4,684 | $192K |
| 2022 | 3,761 | $156K |
| 2023 | 1,987 | $89K |
| 2024 | 59 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,903 | 3,668 | $307K | |
| 92004 | 1,531 | 1,454 | $140K | |
| V2020 | Vision svcs frames purchases | 3,782 | 3,570 | $119K |
| 92015 | 5,507 | 5,220 | $72K | |
| V2102 | Singl visn sphere 7.12-20.00 | 1,392 | 1,282 | $70K |
| V2755 | Uv lens/es | 1,467 | 1,358 | $25K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 614 | 571 | $24K |
| V2784 | Lens polycarb or equal | 621 | 597 | $21K |
| V2100 | Lens spher single plano 4.00 | 803 | 787 | $20K |
| 99213 | 87 | 74 | $5K | |
| 99214 | 68 | 61 | $3K |