NPI: 1467720797 · SAINT CLOUD, MN 56301 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,138 | $15K |
| 2019 | 3,492 | $68K |
| 2020 | 1,632 | $41K |
| 2021 | 2,139 | $62K |
| 2022 | 2,168 | $62K |
| 2023 | 1,610 | $48K |
| 2024 | 1,841 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,822 | 4,265 | $121K |
| V2784 | Lens polycarb or equal | 4,577 | 3,875 | $113K |
| V2100 | Lens spher single plano 4.00 | 4,585 | 3,758 | $90K |
| 99214 | 191 | 184 | $15K | |
| V2200 | Lens spher bifoc plano 4.00d | 376 | 281 | $9K |
| 92340 | 296 | 276 | $7K | |
| 99201 | 51 | 48 | $2K | |
| 99204 | 19 | 19 | $1K | |
| G0439 | Ppps, subseq visit | 13 | 13 | $1K |
| G0438 | Ppps, initial visit | 16 | 14 | $1K |
| 92341 | 13 | 13 | $357.50 | |
| 92004 | 61 | 45 | $158.00 |