NPI: 1831787720 · LANSING, MI 48912 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,487 | $58K |
| 2022 | 7,061 | $176K |
| 2023 | 4,894 | $130K |
| 2024 | 6,223 | $161K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,330 | 3,317 | $102K |
| 99214 | 1,324 | 1,318 | $81K | |
| 92014 | 1,142 | 1,130 | $77K | |
| 92340 | 2,958 | 2,933 | $61K | |
| 92004 | 676 | 668 | $57K | |
| 92015 | 3,989 | 3,966 | $44K | |
| 99204 | 387 | 386 | $33K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,708 | 1,691 | $26K |
| 92341 | 888 | 883 | $20K | |
| 99213 | 226 | 203 | $11K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 482 | 481 | $8K |
| V2100 | Lens spher single plano 4.00 | 244 | 242 | $3K |
| S0620 | Routine ophthalmological exa | 24 | 24 | $1K |
| S0621 | Routine ophthalmological exa | 18 | 18 | $930.60 |
| V2755 | Uv lens/es | 1,620 | 1,619 | $704.40 |
| V2760 | Scratch resistant coating | 408 | 408 | $0.00 |
| V2784 | Lens polycarb or equal | 1,241 | 1,233 | $0.00 |