NPI: 1487706073 · BROOKLYN CENTER, MN 55430 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,294 | $57K |
| 2019 | 8,083 | $275K |
| 2020 | 3,981 | $136K |
| 2021 | 5,676 | $210K |
| 2022 | 8,967 | $324K |
| 2023 | 11,075 | $426K |
| 2024 | 12,283 | $540K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 10,619 | 10,475 | $404K |
| 92004 | 4,150 | 4,073 | $314K | |
| V2784 | Lens polycarb or equal | 7,412 | 7,302 | $290K |
| 92340 | 13,260 | 13,136 | $242K | |
| V2100 | Lens spher single plano 4.00 | 3,101 | 3,069 | $170K |
| 92014 | 2,402 | 2,337 | $157K | |
| 92341 | 4,104 | 4,027 | $93K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,618 | 3,563 | $88K |
| 92015 | 8,199 | 8,048 | $85K | |
| V2200 | Lens spher bifoc plano 4.00d | 990 | 978 | $75K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 630 | 605 | $28K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 462 | 454 | $12K |
| 92370 | 266 | 259 | $5K | |
| V2107 | Spherocylinder 4.25d/12-2d | 116 | 115 | $3K |
| 92250 | 30 | 30 | $768.82 |