NPI: 1174624787 · SALT LAKE CITY, UT 84119 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,062 | $264K |
| 2019 | 6,629 | $254K |
| 2020 | 5,669 | $227K |
| 2021 | 7,438 | $301K |
| 2022 | 6,326 | $236K |
| 2023 | 9,445 | $175K |
| 2024 | 3,098 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 6,782 | 6,658 | $601K | |
| 92340 | 5,612 | 5,518 | $437K | |
| 92014 | 3,543 | 3,496 | $219K | |
| V2020 | Vision svcs frames purchases | 7,274 | 7,138 | $173K |
| 92015 | 15,709 | 15,326 | $35K | |
| V2100 | Lens spher single plano 4.00 | 2,944 | 2,888 | $32K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 892 | 877 | $13K |
| V2755 | Uv lens/es | 2,860 | 2,810 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 51 | 51 | $799.36 |