NPI: 1407905391 · SAINT PAUL, MN 55116 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,985 | $26K |
| 2019 | 5,332 | $207K |
| 2020 | 4,567 | $154K |
| 2021 | 6,750 | $246K |
| 2022 | 6,862 | $227K |
| 2023 | 9,523 | $343K |
| 2024 | 7,452 | $291K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 8,120 | 7,434 | $285K |
| 92004 | 3,161 | 2,936 | $272K | |
| V2020 | Vision svcs frames purchases | 8,354 | 7,639 | $247K |
| 92014 | 2,724 | 2,572 | $205K | |
| 92340 | 6,674 | 6,138 | $139K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,261 | 3,930 | $132K |
| 92015 | 7,316 | 6,821 | $81K | |
| 92250 | 2,814 | 2,596 | $65K | |
| 92341 | 1,182 | 1,065 | $31K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 485 | 444 | $22K |
| V2100 | Lens spher single plano 4.00 | 262 | 248 | $11K |
| 92370 | 70 | 67 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 29 | 27 | $677.76 |
| V2750 | Anti-reflective coating | 19 | 19 | $0.00 |