NPI: 1760612527 · LEXINGTON, KY 40513 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $3K |
| 2019 | 13 | $181.98 |
| 2020 | 2,072 | $38K |
| 2021 | 4,669 | $135K |
| 2022 | 5,247 | $146K |
| 2023 | 1,105 | $29K |
| 2024 | 249 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,314 | 1,166 | $108K | |
| 92014 | 1,422 | 1,267 | $87K | |
| V2020 | Vision svcs frames purchases | 2,229 | 1,815 | $64K |
| 92340 | 1,634 | 1,466 | $38K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,214 | 1,039 | $20K |
| 92015 | 2,602 | 2,376 | $11K | |
| V2784 | Lens polycarb or equal | 1,129 | 954 | $7K |
| 92250 | 147 | 129 | $6K | |
| 99213 | 130 | 112 | $5K | |
| V2100 | Lens spher single plano 4.00 | 273 | 241 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 80 | 71 | $2K |
| V2760 | Scratch resistant coating | 985 | 859 | $2K |
| 92341 | 118 | 114 | $2K | |
| 99212 | 14 | 12 | $341.88 | |
| 92310 | 12 | 12 | $220.00 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 14 | 12 | $186.75 |
| S9999 | Sales tax | 54 | 54 | $125.13 |
| S0504 | Singl prscrp lens | 12 | 12 | $110.10 |