NPI: 1831235498 · LOUISVILLE, KY 40299 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,546 | $142K |
| 2019 | 3,809 | $106K |
| 2020 | 81 | $2K |
| 2022 | 114 | $3K |
| 2023 | 1,206 | $37K |
| 2024 | 156 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,670 | 1,598 | $110K | |
| 92004 | 507 | 490 | $46K | |
| V2020 | Vision svcs frames purchases | 1,921 | 1,789 | $42K |
| 92370 | 1,427 | 1,378 | $39K | |
| V2100 | Lens spher single plano 4.00 | 1,316 | 1,221 | $24K |
| V2784 | Lens polycarb or equal | 1,204 | 1,134 | $17K |
| 92015 | 1,488 | 1,438 | $10K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 189 | 167 | $3K |
| 92340 | 60 | 60 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 68 | 67 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 15 | 13 | $228.20 |
| V2702 | Deluxe lens feature | 47 | 45 | $0.00 |