NPI: 1003532755 · CORTEZ, CO 81321 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,338 | $60K |
| 2024 | 1,498 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 430 | 387 | $38K | |
| 92004 | 186 | 164 | $18K | |
| V2020 | Vision svcs frames purchases | 381 | 331 | $17K |
| V2410 | Lens variab asphericity sing | 348 | 296 | $17K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 185 | 155 | $12K |
| V2755 | Uv lens/es | 327 | 277 | $9K |
| 92340 | 340 | 290 | $6K | |
| V2745 | Tint, any color/solid/grad | 332 | 281 | $6K |
| 92250 | 163 | 154 | $5K | |
| 92015 | 144 | 132 | $477.19 |