NPI: 1881319424 · PARK RIDGE, IL 60068 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,425 | $62K |
| 2024 | 2,921 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 766 | 764 | $35K | |
| 92014 | 660 | 659 | $28K | |
| 92015 | 1,636 | 1,615 | $25K | |
| 92340 | 602 | 595 | $17K | |
| V2020 | Vision svcs frames purchases | 672 | 666 | $17K |
| V2784 | Lens polycarb or equal | 476 | 473 | $5K |
| V2100 | Lens spher single plano 4.00 | 314 | 313 | $4K |
| S0621 | Routine ophthalmological exa | 43 | 43 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 114 | 114 | $1K |
| S0620 | Routine ophthalmological exa | 19 | 19 | $882.55 |
| M1208 | Pt no scrn sdoh | 29 | 29 | $0.00 |
| G8785 | Bp scrn no perf at interval | 15 | 15 | $0.00 |