NPI: 1811306152 · CHEBOYGAN, MI 49721 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,788 | $92K |
| 2019 | 991 | $16K |
| 2020 | 2,320 | $55K |
| 2021 | 3,106 | $76K |
| 2022 | 4,149 | $100K |
| 2023 | 3,090 | $73K |
| 2024 | 3,259 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,452 | 4,279 | $135K |
| S0621 | Routine ophthalmological exa | 1,691 | 1,643 | $83K |
| 92370 | 4,559 | 4,368 | $78K | |
| 92340 | 3,752 | 3,599 | $72K | |
| S0620 | Routine ophthalmological exa | 906 | 889 | $43K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,611 | 2,523 | $35K |
| 92014 | 199 | 199 | $14K | |
| V2100 | Lens spher single plano 4.00 | 1,271 | 1,215 | $12K |
| 92341 | 401 | 392 | $9K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 350 | 346 | $5K |
| 92283 | 190 | 170 | $4K | |
| 92015 | 259 | 258 | $3K | |
| 92004 | 32 | 32 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 14 | 13 | $133.44 |
| V2784 | Lens polycarb or equal | 16 | 16 | $0.00 |