NPI: 1467440305 · LEAVENWORTH, KS 66048 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,631 | $65K |
| 2019 | 2,800 | $72K |
| 2020 | 3,148 | $87K |
| 2021 | 4,507 | $135K |
| 2022 | 5,527 | $166K |
| 2023 | 5,849 | $185K |
| 2024 | 3,487 | $120K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,550 | 6,060 | $270K |
| 92014 | 3,498 | 3,271 | $226K | |
| 92004 | 1,140 | 1,092 | $106K | |
| V2100 | Lens spher single plano 4.00 | 3,094 | 1,634 | $76K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,762 | 1,445 | $63K |
| 92015 | 6,564 | 6,160 | $37K | |
| S0580 | Polycarb lens | 3,880 | 3,580 | $35K |
| 92250 | 203 | 189 | $9K | |
| 92012 | 117 | 111 | $5K | |
| V2101 | Single visn sphere 4.12-7.00 | 129 | 61 | $3K |
| 92285 | 12 | 12 | $341.00 |