NPI: 1144264235 · SHAWNEE, KS 66203 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,149 | $33K |
| 2019 | 865 | $28K |
| 2020 | 934 | $28K |
| 2021 | 1,259 | $38K |
| 2022 | 1,303 | $42K |
| 2023 | 1,230 | $45K |
| 2024 | 621 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,032 | 2,011 | $84K |
| V2100 | Lens spher single plano 4.00 | 1,631 | 1,615 | $79K |
| 92012 | 854 | 846 | $40K | |
| 92004 | 143 | 141 | $14K | |
| 92015 | 2,233 | 2,207 | $13K | |
| 92014 | 55 | 54 | $4K | |
| S0580 | Polycarb lens | 369 | 365 | $3K |
| V2784 | Lens polycarb or equal | 29 | 29 | $1K |
| 3072F | 15 | 15 | $0.00 |