NPI: 1942833397 · CAMPBELLSVILLE, KY 42718 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 184 | $9K |
| 2021 | 1,846 | $93K |
| 2022 | 1,843 | $91K |
| 2023 | 2,240 | $102K |
| 2024 | 2,395 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,875 | 1,806 | $111K | |
| 92014 | 1,775 | 1,734 | $107K | |
| 92004 | 1,143 | 1,101 | $100K | |
| 99213 | 994 | 924 | $39K | |
| 92015 | 1,401 | 1,360 | $24K | |
| 92133 | 537 | 514 | $16K | |
| 99203 | 29 | 28 | $2K | |
| V2020 | Vision svcs frames purchases | 410 | 205 | $1K |
| 92202 | 60 | 57 | $1K | |
| 92002 | 14 | 14 | $723.38 | |
| S0516 | Safety frames | 42 | 42 | $671.16 |
| S0504 | Singl prscrp lens | 69 | 69 | $621.08 |
| S9999 | Sales tax | 103 | 103 | $168.36 |
| V2784 | Lens polycarb or equal | 56 | 28 | $87.00 |