NPI: 1003908237 · INDEPENDENCE, KS 67301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,255 | $47K |
| 2019 | 2,516 | $65K |
| 2020 | 1,766 | $49K |
| 2021 | 1,945 | $50K |
| 2022 | 2,057 | $52K |
| 2023 | 2,058 | $59K |
| 2024 | 1,362 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,822 | 1,719 | $113K | |
| V2020 | Vision svcs frames purchases | 2,061 | 1,975 | $86K |
| 92004 | 720 | 694 | $63K | |
| V2100 | Lens spher single plano 4.00 | 1,892 | 940 | $50K |
| V2760 | Scratch resistant coating | 2,360 | 1,233 | $27K |
| 92015 | 2,917 | 2,758 | $16K | |
| V2200 | Lens spher bifoc plano 4.00d | 264 | 136 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 172 | 97 | $3K |
| 99213 | 18 | 12 | $289.82 | |
| G8754 | Dias bp less 90 | 560 | 531 | $0.00 |
| 2033F | 116 | 115 | $0.00 | |
| 1036F | 98 | 91 | $0.00 | |
| G8420 | Calc bmi norm parameters | 143 | 133 | $0.00 |
| G8419 | Calc bmi out nrm param nof/u | 42 | 40 | $0.00 |
| G8752 | Sys bp less 140 | 482 | 458 | $0.00 |
| 2026F | 158 | 158 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 134 | 125 | $0.00 |