NPI: 1487751913 · SAINT LOUIS, MO 63118 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,188 | $85K |
| 2019 | 4,485 | $73K |
| 2020 | 2,215 | $39K |
| 2021 | 2,106 | $47K |
| 2022 | 2,214 | $49K |
| 2023 | 1,832 | $50K |
| 2024 | 581 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 3,457 | 3,173 | $88K | |
| 92014 | 2,059 | 1,993 | $82K | |
| V2020 | Vision svcs frames purchases | 1,125 | 1,066 | $26K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 765 | 388 | $21K |
| 92226 | 2,256 | 1,364 | $20K | |
| 92004 | 382 | 372 | $17K | |
| 92370 | 1,170 | 1,107 | $16K | |
| 99214 | 264 | 257 | $12K | |
| 92250 | 844 | 810 | $11K | |
| 92134 | 843 | 817 | $11K | |
| 67028 | 384 | 346 | $10K | |
| 99213 | 338 | 325 | $10K | |
| 92015 | 2,167 | 1,565 | $7K | |
| 92133 | 585 | 568 | $7K | |
| 92201 | 656 | 619 | $6K | |
| 92083 | 202 | 193 | $5K | |
| 76519 | 222 | 184 | $4K | |
| 66984 | 30 | 26 | $4K | |
| 92202 | 604 | 581 | $4K | |
| 92225 | 122 | 79 | $1K | |
| 92020 | 84 | 79 | $699.84 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 41 | 24 | $394.23 |
| 83861 | 21 | 13 | $179.80 |