NPI: 1215334925 · GARDEN CITY, KS 67846 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,257 | $48K |
| 2021 | 1,960 | $73K |
| 2022 | 2,307 | $85K |
| 2023 | 1,814 | $65K |
| 2024 | 827 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 1,347 | 1,319 | $79K |
| V2020 | Vision svcs frames purchases | 1,563 | 1,533 | $69K |
| 92014 | 1,031 | 1,004 | $67K | |
| 92004 | 383 | 375 | $35K | |
| V2760 | Scratch resistant coating | 1,312 | 1,279 | $29K |
| 92015 | 2,077 | 2,022 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 202 | 199 | $7K |
| 92012 | 78 | 78 | $4K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 13 | 12 | $745.38 |
| 92370 | 14 | 13 | $99.96 | |
| 2023F | 145 | 143 | $0.00 |