NPI: 1891102661 · PORTSMOUTH, OH 45662 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,193 | $42K |
| 2019 | 851 | $31K |
| 2020 | 1,498 | $36K |
| 2021 | 2,028 | $53K |
| 2022 | 2,673 | $60K |
| 2023 | 3,123 | $49K |
| 2024 | 2,055 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,235 | 2,178 | $83K | |
| 92004 | 1,634 | 1,609 | $68K | |
| V2100 | Lens spher single plano 4.00 | 2,148 | 2,111 | $47K |
| V2020 | Vision svcs frames purchases | 2,782 | 2,715 | $46K |
| 92340 | 697 | 691 | $15K | |
| V2784 | Lens polycarb or equal | 1,170 | 1,153 | $12K |
| 99213 | 290 | 263 | $12K | |
| V2200 | Lens spher bifoc plano 4.00d | 323 | 315 | $10K |
| 92015 | 2,060 | 1,992 | $2K | |
| 92341 | 42 | 41 | $1K | |
| 92250 | 28 | 18 | $917.00 | |
| 92133 | 12 | 12 | $191.52 |