NPI: 1356789440 · MINNEAPOLIS, MN 55414 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 114 | $4K |
| 2020 | 2,092 | $52K |
| 2021 | 2,822 | $77K |
| 2022 | 3,448 | $111K |
| 2023 | 6,731 | $239K |
| 2024 | 5,324 | $193K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,854 | 2,684 | $118K |
| 92370 | 5,270 | 3,592 | $116K | |
| 92340 | 3,683 | 2,718 | $91K | |
| V2784 | Lens polycarb or equal | 1,614 | 1,532 | $75K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 647 | 608 | $67K |
| 92004 | 664 | 634 | $63K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,064 | 1,938 | $49K |
| V2100 | Lens spher single plano 4.00 | 1,060 | 1,009 | $30K |
| 92014 | 224 | 216 | $19K | |
| V2107 | Spherocylinder 4.25d/12-2d | 554 | 523 | $18K |
| 92015 | 1,117 | 1,070 | $14K | |
| 99072 | 704 | 467 | $14K | |
| 92341 | 39 | 32 | $1K | |
| 92342 | 25 | 21 | $718.13 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $269.51 |