NPI: 1962996181 · GLENVIEW, IL 60025 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 495 | $16K |
| 2020 | 1,946 | $66K |
| 2021 | 1,640 | $57K |
| 2022 | 3,511 | $92K |
| 2023 | 4,508 | $111K |
| 2024 | 4,196 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,534 | 2,494 | $112K | |
| 92015 | 3,957 | 3,914 | $60K | |
| 92014 | 1,397 | 1,396 | $59K | |
| 92340 | 1,898 | 1,867 | $56K | |
| V2020 | Vision svcs frames purchases | 1,521 | 1,460 | $49K |
| V2100 | Lens spher single plano 4.00 | 592 | 519 | $27K |
| 92012 | 559 | 456 | $25K | |
| V2025 | Eyeglasses delux frames | 844 | 820 | $24K |
| V2784 | Lens polycarb or equal | 1,829 | 1,789 | $18K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,020 | 1,016 | $12K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 109 | 109 | $1K |
| S0620 | Routine ophthalmological exa | 20 | 20 | $929.00 |
| S0621 | Routine ophthalmological exa | 16 | 16 | $711.20 |