NPI: 1992784599 · LAFAYETTE, IN 47905 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,895 | $418K |
| 2019 | 15,813 | $683K |
| 2020 | 15,289 | $691K |
| 2021 | 15,827 | $648K |
| 2022 | 12,911 | $497K |
| 2023 | 15,622 | $617K |
| 2024 | 12,093 | $674K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 17,675 | 16,171 | $1.49M | |
| 92004 | 10,495 | 9,446 | $1.04M | |
| V2020 | Vision svcs frames purchases | 20,884 | 19,343 | $679K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 15,064 | 9,057 | $440K |
| 92015 | 31,424 | 28,419 | $410K | |
| V2100 | Lens spher single plano 4.00 | 4,634 | 3,525 | $120K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 698 | 442 | $18K |
| V2784 | Lens polycarb or equal | 1,148 | 1,056 | $13K |
| 99213 | 145 | 129 | $8K | |
| 92250 | 137 | 116 | $3K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 91 | 70 | $3K |
| 99214 | 16 | 15 | $1K | |
| 99212 | 26 | 24 | $802.16 | |
| V2750 | Anti-reflective coating | 13 | 13 | $21.00 |