NPI: 1104471739 · FORT LEONARD WOOD, MO 65473 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 308 | $0.00 |
| 2023 | 212 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 99 | 96 | $1K |
| S0620 | Routine ophthalmological exa | 63 | 61 | $1K |
| V2020 | Vision svcs frames purchases | 78 | 76 | $511.55 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 67 | 65 | $479.64 |
| S0621 | Routine ophthalmological exa | 39 | 37 | $0.00 |
| 92015 | 161 | 157 | $0.00 | |
| S9986 | Not medically necessary svc | 13 | 13 | $0.00 |