NPI: 1417461823 · PUEBLO, CO 81005 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 503 | $23K |
| 2019 | 13,226 | $643K |
| 2020 | 13,715 | $641K |
| 2021 | 19,933 | $903K |
| 2022 | 23,626 | $1.13M |
| 2023 | 28,458 | $1.71M |
| 2024 | 25,740 | $1.90M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2410 | Lens variab asphericity sing | 15,196 | 10,735 | $2.51M |
| 92004 | 6,701 | 6,377 | $786K | |
| 92014 | 7,175 | 6,947 | $752K | |
| V2020 | Vision svcs frames purchases | 15,965 | 11,191 | $711K |
| V2784 | Lens polycarb or equal | 15,492 | 10,939 | $576K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 10,467 | 7,461 | $481K |
| V2750 | Anti-reflective coating | 15,135 | 10,607 | $410K |
| 92340 | 15,906 | 11,155 | $317K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 4,146 | 2,898 | $201K |
| V2100 | Lens spher single plano 4.00 | 2,674 | 1,968 | $112K |
| 99212 | 824 | 782 | $34K | |
| V2744 | Tint photochromatic lens/es | 1,136 | 711 | $28K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 312 | 188 | $17K |
| 92015 | 13,991 | 13,353 | $8K | |
| 99213 | 45 | 34 | $2K | |
| V2107 | Spherocylinder 4.25d/12-2d | 24 | 14 | $2K |
| 99211 | 12 | 12 | $217.14 |