NPI: 1285911974 · ROCHESTER, MN 55902 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,247 | $20K |
| 2019 | 4,508 | $111K |
| 2020 | 3,322 | $79K |
| 2021 | 3,910 | $80K |
| 2022 | 4,664 | $86K |
| 2023 | 3,699 | $96K |
| 2024 | 3,528 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 7,588 | 6,943 | $172K |
| V2100 | Lens spher single plano 4.00 | 11,438 | 6,133 | $170K |
| V2784 | Lens polycarb or equal | 3,316 | 2,548 | $72K |
| 92014 | 1,295 | 1,289 | $71K | |
| V2200 | Lens spher bifoc plano 4.00d | 2,047 | 1,067 | $38K |
| 92004 | 346 | 327 | $18K | |
| 92340 | 544 | 537 | $13K | |
| 99204 | 76 | 76 | $6K | |
| 92341 | 131 | 129 | $4K | |
| 99214 | 20 | 20 | $2K | |
| V2799 | Misc vision item or service | 77 | 39 | $430.98 |