NPI: 1497732895 · COLUMBUS, NE 68601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,899 | $48K |
| 2019 | 1,218 | $24K |
| 2020 | 1,366 | $34K |
| 2021 | 3,516 | $80K |
| 2022 | 3,457 | $81K |
| 2023 | 3,812 | $96K |
| 2024 | 1,686 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,148 | 1,895 | $105K | |
| 92015 | 7,737 | 6,594 | $102K | |
| 92340 | 1,360 | 1,308 | $84K | |
| V2020 | Vision svcs frames purchases | 2,297 | 2,216 | $70K |
| 92004 | 272 | 244 | $18K | |
| 99214 | 552 | 421 | $17K | |
| V2756 | Eye glass case | 2,221 | 2,148 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 273 | 174 | $2K |
| V2784 | Lens polycarb or equal | 59 | 58 | $1K |
| V2100 | Lens spher single plano 4.00 | 22 | 12 | $165.44 |
| 92134 | 13 | 12 | $111.42 |