NPI: 1902344971 · INDIANAPOLIS, IN 46218 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,327 | $125K |
| 2019 | 5,764 | $293K |
| 2020 | 6,455 | $355K |
| 2021 | 10,827 | $558K |
| 2022 | 10,517 | $539K |
| 2023 | 8,660 | $437K |
| 2024 | 7,652 | $543K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 7,319 | 6,877 | $855K | |
| V2020 | Vision svcs frames purchases | 14,153 | 12,791 | $620K |
| 92014 | 5,084 | 4,739 | $480K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 6,433 | 5,878 | $313K |
| 92015 | 13,352 | 12,470 | $206K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,425 | 1,283 | $98K |
| V2100 | Lens spher single plano 4.00 | 2,029 | 1,814 | $88K |
| V2755 | Uv lens/es | 2,808 | 2,492 | $73K |
| V2410 | Lens variab asphericity sing | 322 | 288 | $57K |
| V2784 | Lens polycarb or equal | 454 | 336 | $20K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 320 | 295 | $13K |
| V2200 | Lens spher bifoc plano 4.00d | 190 | 167 | $10K |
| V2107 | Spherocylinder 4.25d/12-2d | 187 | 162 | $9K |
| 92002 | 88 | 79 | $3K | |
| V2750 | Anti-reflective coating | 38 | 37 | $112.00 |