NPI: 1851482194 · ELK GROVE VILLAGE, IL 60007 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 836 | $28K |
| 2019 | 325 | $14K |
| 2020 | 605 | $23K |
| 2021 | 1,014 | $33K |
| 2022 | 2,011 | $55K |
| 2023 | 2,400 | $65K |
| 2024 | 903 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,347 | 1,255 | $58K | |
| 92004 | 1,177 | 1,141 | $52K | |
| 92015 | 2,484 | 2,420 | $39K | |
| 92340 | 867 | 835 | $25K | |
| V2100 | Lens spher single plano 4.00 | 547 | 464 | $22K |
| V2020 | Vision svcs frames purchases | 723 | 703 | $20K |
| 92012 | 341 | 265 | $15K | |
| V2784 | Lens polycarb or equal | 382 | 375 | $4K |
| 99204 | 41 | 41 | $3K | |
| 99214 | 50 | 46 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 90 | 90 | $950.62 |
| V2025 | Eyeglasses delux frames | 45 | 45 | $494.50 |