NPI: 1508422924 · APPLETON, WI 54914 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 362 | $0.00 |
| 2020 | 29 | $531.96 |
| 2021 | 9,967 | $7K |
| 2022 | 8,950 | $15K |
| 2023 | 260 | $7K |
| 2024 | 992 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,425 | 5,097 | $21K |
| 92014 | 2,192 | 2,143 | $16K | |
| V2100 | Lens spher single plano 4.00 | 3,483 | 3,311 | $11K |
| 92004 | 870 | 843 | $9K | |
| V2784 | Lens polycarb or equal | 1,969 | 1,892 | $964.80 |
| 92015 | 4,361 | 4,330 | $396.27 | |
| V2025 | Eyeglasses delux frames | 2,260 | 2,190 | $0.00 |