NPI: 1811322522 · FAIRVIEW HEIGHTS, IL 62208 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,793 | $52K |
| 2021 | 4,622 | $135K |
| 2022 | 3,762 | $111K |
| 2023 | 3,793 | $113K |
| 2024 | 3,625 | $112K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,555 | 3,469 | $149K | |
| 92004 | 2,540 | 2,431 | $115K | |
| 92340 | 3,512 | 3,411 | $103K | |
| 92015 | 5,938 | 5,756 | $102K | |
| 92012 | 713 | 653 | $22K | |
| V2020 | Vision svcs frames purchases | 578 | 574 | $19K |
| V2100 | Lens spher single plano 4.00 | 193 | 187 | $9K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 159 | 157 | $2K |
| V2025 | Eyeglasses delux frames | 122 | 122 | $1K |
| V2784 | Lens polycarb or equal | 83 | 79 | $752.98 |
| 99213 | 16 | 16 | $447.44 | |
| 92341 | 12 | 12 | $355.41 | |
| 3072F | 117 | 113 | $0.00 | |
| 2023F | 57 | 55 | $0.00 |