NPI: 1902898810 · TOLEDO, OH 43604 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,431 | $97K |
| 2019 | 9,353 | $133K |
| 2020 | 4,993 | $72K |
| 2021 | 4,990 | $72K |
| 2022 | 5,487 | $77K |
| 2023 | 6,085 | $82K |
| 2024 | 4,240 | $114K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 3,548 | 3,251 | $127K | |
| 90471 | 6,382 | 5,877 | $99K | |
| 90472 | 3,578 | 3,336 | $61K | |
| 90716 | 931 | 870 | $48K | |
| 90651 | 1,880 | 1,760 | $29K | |
| 99214 | 509 | 462 | $28K | |
| 99213 | 559 | 533 | $22K | |
| 90715 | 2,226 | 2,074 | $22K | |
| 90739 | 168 | 154 | $21K | |
| 90686 | 1,797 | 1,719 | $19K | |
| 90734 | 2,566 | 2,417 | $16K | |
| 99202 | 428 | 410 | $15K | |
| 99203 | 280 | 267 | $14K | |
| 99204 | 205 | 176 | $14K | |
| 90707 | 311 | 293 | $10K | |
| 90633 | 1,873 | 1,778 | $10K | |
| 86580 | 1,927 | 1,492 | $10K | |
| 91320 | 122 | 102 | $9K | |
| 36415 | 3,474 | 3,228 | $8K | |
| 90648 | 1,180 | 1,150 | $7K | |
| 90670 | 1,096 | 1,086 | $7K | |
| 90723 | 914 | 893 | $5K | |
| 90710 | 1,002 | 944 | $5K | |
| 90662 | 211 | 192 | $4K | |
| 92004 | 82 | 80 | $4K | |
| 83655 | 331 | 320 | $3K | |
| 87205 | 1,032 | 974 | $3K | |
| 92015 | 225 | 210 | $3K | |
| 90480 | 100 | 100 | $3K | |
| 87210 | 677 | 621 | $2K | |
| 90746 | 34 | 34 | $2K | |
| 90696 | 414 | 390 | $2K | |
| 90680 | 313 | 311 | $2K | |
| 90713 | 360 | 329 | $2K | |
| 92340 | 80 | 75 | $2K | |
| 90620 | 172 | 165 | $1K | |
| 90700 | 302 | 285 | $1K | |
| 99211 | 78 | 73 | $885.98 | |
| 86703 | 76 | 71 | $762.48 | |
| 96372 | 84 | 68 | $739.46 | |
| 86803 | 53 | 53 | $662.22 | |
| 90632 | 16 | 16 | $662.20 | |
| 36416 | 202 | 191 | $357.87 | |
| 99401 | 15 | 15 | $337.24 | |
| 99212 | 12 | 12 | $308.07 | |
| V2020 | Vision svcs frames purchases | 59 | 59 | $279.45 |
| D1351 | 993 | 302 | $198.00 | |
| 90671 | 38 | 23 | $190.00 | |
| G0008 | Admin influenza virus vac | 190 | 177 | $150.00 |
| 81025 | 17 | 12 | $77.84 | |
| T1015 | Clinic service | 351 | 341 | $0.00 |
| 90461 | 30 | 24 | $0.00 | |
| 90744 | 16 | 12 | $0.00 | |
| V2784 | Lens polycarb or equal | 47 | 47 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 13 | 13 | $0.00 |