NPI: 1174737605 · COLORADO SPRINGS, CO 80907 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 3,198 | $123K |
| 2022 | 4,720 | $184K |
| 2023 | 4,327 | $205K |
| 2024 | 3,467 | $184K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,848 | 1,756 | $214K | |
| 92014 | 2,142 | 2,030 | $207K | |
| V2784 | Lens polycarb or equal | 1,290 | 1,158 | $51K |
| V2020 | Vision svcs frames purchases | 1,148 | 1,026 | $49K |
| V2410 | Lens variab asphericity sing | 638 | 583 | $45K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 866 | 780 | $43K |
| V2750 | Anti-reflective coating | 1,285 | 1,150 | $34K |
| V2781 | Progressive lens per lens | 414 | 364 | $25K |
| 92340 | 1,308 | 1,172 | $23K | |
| V2744 | Tint photochromatic lens/es | 320 | 290 | $5K |
| 92015 | 4,453 | 4,191 | $1K |