NPI: 1053346387 · SPRINGFIELD, MO 65806 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,513 | $162K |
| 2019 | 5,989 | $150K |
| 2020 | 2,871 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 2,283 | 2,104 | $142K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,745 | 1,901 | $65K |
| V2020 | Vision svcs frames purchases | 3,147 | 2,896 | $59K |
| 92015 | 2,950 | 2,736 | $46K | |
| V2784 | Lens polycarb or equal | 4,021 | 1,842 | $22K |
| 92014 | 144 | 144 | $14K | |
| V2100 | Lens spher single plano 4.00 | 815 | 481 | $13K |
| 92002 | 105 | 95 | $6K | |
| 92004 | 30 | 30 | $3K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 86 | 45 | $1K |
| V2107 | Spherocylinder 4.25d/12-2d | 47 | 28 | $1K |