NPI: 1518015015 · SANTA FE, NM 87507 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,237 | $116K |
| 2019 | 2,896 | $79K |
| 2020 | 3,264 | $88K |
| 2021 | 3,841 | $105K |
| 2022 | 2,858 | $95K |
| 2023 | 3,353 | $153K |
| 2024 | 3,486 | $237K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,836 | 2,818 | $226K | |
| 92004 | 2,505 | 2,483 | $205K | |
| V2100 | Lens spher single plano 4.00 | 3,847 | 3,767 | $141K |
| V2020 | Vision svcs frames purchases | 3,825 | 3,777 | $117K |
| 92340 | 3,760 | 3,677 | $74K | |
| V2025 | Eyeglasses delux frames | 850 | 847 | $44K |
| 92012 | 459 | 459 | $33K | |
| 92015 | 4,551 | 4,514 | $19K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 247 | 247 | $11K |
| V2200 | Lens spher bifoc plano 4.00d | 55 | 55 | $2K |