NPI: 1124249495 · LONGMONT, CO 80501 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,383 | $237K |
| 2019 | 2,947 | $166K |
| 2020 | 1,229 | $74K |
| 2021 | 584 | $28K |
| 2022 | 380 | $24K |
| 2023 | 1,339 | $85K |
| 2024 | 516 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2410 | Lens variab asphericity sing | 2,429 | 1,307 | $364K |
| V2020 | Vision svcs frames purchases | 3,120 | 1,695 | $121K |
| 92340 | 3,000 | 1,631 | $53K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,184 | 641 | $48K |
| 92004 | 354 | 353 | $42K | |
| V2784 | Lens polycarb or equal | 867 | 481 | $18K |
| V2755 | Uv lens/es | 219 | 150 | $7K |
| V2100 | Lens spher single plano 4.00 | 66 | 39 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 50 | 27 | $2K |
| V2780 | Oversize lens/es | 59 | 43 | $1K |
| 99211 | 13 | 13 | $207.20 | |
| V2744 | Tint photochromatic lens/es | 17 | 14 | $185.98 |