NPI: 1881683977 · TERRE HAUTE, IN 47802 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,093 | $305K |
| 2019 | 11,460 | $612K |
| 2020 | 11,641 | $658K |
| 2021 | 18,334 | $990K |
| 2022 | 17,604 | $899K |
| 2023 | 22,391 | $1.14M |
| 2024 | 18,037 | $1.31M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 13,809 | 12,885 | $1.61M | |
| V2020 | Vision svcs frames purchases | 27,189 | 24,530 | $1.21M |
| 92014 | 10,845 | 10,040 | $1.04M | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 13,668 | 12,305 | $704K |
| 92015 | 25,439 | 23,526 | $391K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 3,497 | 3,087 | $256K |
| V2410 | Lens variab asphericity sing | 1,472 | 1,150 | $216K |
| V2100 | Lens spher single plano 4.00 | 4,146 | 3,758 | $190K |
| V2755 | Uv lens/es | 5,358 | 4,692 | $147K |
| V2784 | Lens polycarb or equal | 1,355 | 1,009 | $56K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 866 | 778 | $39K |
| V2200 | Lens spher bifoc plano 4.00d | 382 | 353 | $24K |
| V2107 | Spherocylinder 4.25d/12-2d | 422 | 376 | $23K |
| 92310 | 98 | 86 | $1K | |
| 99213 | 14 | 12 | $1K |