NPI: 1134425788 · SAINT PAUL, MN 55106 · 261QH0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,538 | $205K |
| 2019 | 15,134 | $624K |
| 2020 | 9,978 | $409K |
| 2021 | 10,829 | $472K |
| 2022 | 9,220 | $368K |
| 2023 | 11,692 | $446K |
| 2024 | 10,347 | $415K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 14,326 | 14,267 | $1.10M | |
| 92004 | 5,695 | 5,678 | $517K | |
| 92340 | 16,618 | 16,516 | $370K | |
| 92015 | 21,110 | 21,020 | $236K | |
| V2020 | Vision svcs frames purchases | 7,610 | 7,525 | $220K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,121 | 3,454 | $132K |
| 92341 | 3,517 | 3,498 | $89K | |
| V2784 | Lens polycarb or equal | 3,244 | 3,221 | $84K |
| T1013 | Sign lang/oral interpreter | 2,221 | 2,103 | $79K |
| V2100 | Lens spher single plano 4.00 | 2,175 | 1,981 | $76K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 336 | 320 | $14K |
| 92370 | 361 | 361 | $8K | |
| V2200 | Lens spher bifoc plano 4.00d | 174 | 171 | $5K |
| V2107 | Spherocylinder 4.25d/12-2d | 110 | 108 | $5K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 56 | 53 | $3K |
| 92012 | 38 | 38 | $2K | |
| 92250 | 26 | 26 | $677.81 |