NPI: 1023424926 · CROSBY, MN 56441 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,169 | $18K |
| 2019 | 2,494 | $85K |
| 2020 | 2,257 | $82K |
| 2021 | 2,798 | $104K |
| 2022 | 2,170 | $82K |
| 2023 | 769 | $27K |
| 2024 | 312 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,683 | 1,599 | $121K | |
| V2020 | Vision svcs frames purchases | 2,792 | 2,620 | $82K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,457 | 1,350 | $59K |
| 92340 | 2,374 | 2,265 | $47K | |
| 92015 | 3,255 | 3,047 | $35K | |
| 92004 | 417 | 395 | $32K | |
| 99214 | 185 | 157 | $14K | |
| V2100 | Lens spher single plano 4.00 | 331 | 212 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 181 | 91 | $6K |
| 99213 | 136 | 119 | $5K | |
| 92341 | 120 | 106 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 25 | 15 | $665.28 |
| 92012 | 13 | 13 | $0.00 |