NPI: 1801524079 · PAINTSVILLE, KY 41240 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 8,198 | $266K |
| 2024 | 8,977 | $292K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,573 | 2,559 | $172K | |
| 92004 | 1,155 | 1,148 | $105K | |
| V2020 | Vision svcs frames purchases | 3,285 | 3,127 | $90K |
| 92340 | 2,482 | 2,477 | $78K | |
| V2100 | Lens spher single plano 4.00 | 2,541 | 2,503 | $49K |
| 92341 | 630 | 624 | $21K | |
| V2784 | Lens polycarb or equal | 1,648 | 1,601 | $13K |
| V2200 | Lens spher bifoc plano 4.00d | 578 | 560 | $11K |
| 99213 | 198 | 183 | $8K | |
| 92015 | 405 | 383 | $6K | |
| V2760 | Scratch resistant coating | 1,563 | 1,557 | $3K |
| 92370 | 93 | 92 | $3K | |
| 92020 | 12 | 12 | $226.56 | |
| 76514 | 12 | 12 | $104.88 |