NPI: 1346453735 · MAPLE GROVE, MN 55369 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,247 | $61K |
| 2019 | 7,891 | $289K |
| 2020 | 9,319 | $346K |
| 2021 | 12,067 | $434K |
| 2022 | 10,946 | $414K |
| 2023 | 13,811 | $549K |
| 2024 | 10,754 | $454K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 6,165 | 5,923 | $559K | |
| 92014 | 6,064 | 5,799 | $449K | |
| V2784 | Lens polycarb or equal | 11,861 | 11,023 | $412K |
| V2020 | Vision svcs frames purchases | 14,745 | 13,764 | $405K |
| 92340 | 10,637 | 9,974 | $234K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 6,411 | 5,914 | $185K |
| 92015 | 13,923 | 13,357 | $157K | |
| V2100 | Lens spher single plano 4.00 | 1,391 | 1,325 | $67K |
| 92370 | 3,385 | 3,232 | $66K | |
| 92341 | 170 | 158 | $5K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 100 | 91 | $4K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 14 | 14 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 65 | 61 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 26 | 25 | $990.35 |
| 92310 | 50 | 50 | $0.00 | |
| S9986 | Not medically necessary svc | 28 | 26 | $0.00 |