NPI: 1073964151 · LINCOLN, NE 68510 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,980 | $130K |
| 2019 | 1,363 | $43K |
| 2020 | 2,254 | $72K |
| 2021 | 4,531 | $130K |
| 2022 | 2,379 | $80K |
| 2023 | 1,687 | $58K |
| 2024 | 2,044 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 3,579 | 3,168 | $175K | |
| V2020 | Vision svcs frames purchases | 4,183 | 3,707 | $162K |
| 92015 | 3,927 | 3,476 | $53K | |
| 92014 | 1,164 | 1,058 | $52K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,760 | 1,550 | $44K |
| 92004 | 598 | 566 | $29K | |
| V2784 | Lens polycarb or equal | 1,656 | 1,468 | $27K |
| 92012 | 648 | 520 | $20K | |
| 92002 | 140 | 129 | $6K | |
| 92341 | 98 | 91 | $6K | |
| V2100 | Lens spher single plano 4.00 | 291 | 281 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 17 | 14 | $558.47 |
| V2756 | Eye glass case | 177 | 170 | $202.95 |