NPI: 1922251842 · ELGIN, IL 60120 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 806 | $31K |
| 2019 | 936 | $36K |
| 2020 | 975 | $38K |
| 2021 | 1,096 | $42K |
| 2022 | 606 | $20K |
| 2023 | 391 | $11K |
| 2024 | 172 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 977 | 864 | $57K |
| 92004 | 872 | 783 | $40K | |
| 92012 | 634 | 541 | $29K | |
| 92014 | 576 | 555 | $26K | |
| 92015 | 1,063 | 1,010 | $18K | |
| V2025 | Eyeglasses delux frames | 691 | 539 | $8K |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $2K |
| V2020 | Vision svcs frames purchases | 143 | 143 | $2K |
| V2784 | Lens polycarb or equal | 14 | 13 | $0.00 |