NPI: 1245805175 · GREELEY, CO 80631 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 401 | $20K |
| 2023 | 1,235 | $55K |
| 2024 | 2,162 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 637 | 621 | $75K | |
| 92250 | 647 | 621 | $24K | |
| V2020 | Vision svcs frames purchases | 343 | 216 | $21K |
| V2410 | Lens variab asphericity sing | 137 | 78 | $14K |
| V2784 | Lens polycarb or equal | 337 | 212 | $13K |
| 92340 | 265 | 168 | $7K | |
| V2750 | Anti-reflective coating | 342 | 215 | $6K |
| 92014 | 45 | 45 | $5K | |
| V2755 | Uv lens/es | 283 | 174 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 31 | 13 | $730.93 |
| 92015 | 731 | 705 | $41.51 |