NPI: 1225344294 · LITTLETON, CO 80123 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,361 | $143K |
| 2019 | 2,851 | $122K |
| 2020 | 561 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2410 | Lens variab asphericity sing | 743 | 706 | $84K |
| 92014 | 731 | 690 | $66K | |
| 92004 | 422 | 404 | $48K | |
| V2020 | Vision svcs frames purchases | 827 | 779 | $29K |
| V2750 | Anti-reflective coating | 766 | 727 | $17K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 224 | 215 | $13K |
| 92340 | 756 | 715 | $12K | |
| V2784 | Lens polycarb or equal | 765 | 726 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 169 | 158 | $7K |
| V2100 | Lens spher single plano 4.00 | 40 | 39 | $2K |
| 99214 | 19 | 18 | $2K | |
| 92015 | 1,311 | 1,245 | $490.00 |