NPI: 1306019062 · LINCOLN, NE 68506 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,889 | $154K |
| 2019 | 4,893 | $152K |
| 2020 | 3,900 | $124K |
| 2021 | 5,242 | $160K |
| 2022 | 5,510 | $181K |
| 2023 | 5,478 | $182K |
| 2024 | 4,597 | $155K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 5,920 | 5,714 | $250K | |
| 92014 | 3,536 | 3,460 | $206K | |
| V2020 | Vision svcs frames purchases | 4,407 | 4,201 | $181K |
| 92015 | 7,660 | 7,222 | $125K | |
| 92004 | 1,431 | 1,396 | $98K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,046 | 1,965 | $57K |
| V2784 | Lens polycarb or equal | 2,643 | 2,537 | $52K |
| 92012 | 1,491 | 1,322 | $48K | |
| 92250 | 703 | 587 | $33K | |
| 92002 | 533 | 487 | $20K | |
| 92341 | 349 | 335 | $15K | |
| V2100 | Lens spher single plano 4.00 | 463 | 444 | $12K |
| 99213 | 246 | 195 | $6K | |
| V2756 | Eye glass case | 3,009 | 2,853 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 55 | 54 | $2K |
| 3072F | 17 | 14 | $0.00 |