NPI: 1386077592 · SAINT PAUL, MN 55109 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,192 | $10K |
| 2019 | 3,124 | $107K |
| 2020 | 4,979 | $125K |
| 2021 | 8,284 | $270K |
| 2022 | 6,976 | $214K |
| 2023 | 8,860 | $286K |
| 2024 | 7,771 | $259K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,525 | 3,303 | $304K | |
| V2020 | Vision svcs frames purchases | 7,989 | 7,295 | $218K |
| V2784 | Lens polycarb or equal | 7,737 | 7,010 | $210K |
| 92340 | 6,965 | 6,317 | $149K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,716 | 4,144 | $136K |
| 92014 | 1,624 | 1,546 | $126K | |
| 92015 | 6,080 | 5,745 | $67K | |
| 92250 | 1,446 | 1,415 | $35K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 179 | 164 | $9K |
| 92341 | 281 | 272 | $8K | |
| V2100 | Lens spher single plano 4.00 | 114 | 98 | $4K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 107 | 97 | $3K |
| V2750 | Anti-reflective coating | 70 | 68 | $994.09 |
| V2200 | Lens spher bifoc plano 4.00d | 26 | 24 | $827.72 |
| 99072 | 327 | 273 | $574.11 |