NPI: 1538613849 · LINCOLN, NE 68508 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 296 | $11K |
| 2019 | 1,201 | $39K |
| 2020 | 51 | $3K |
| 2021 | 1,256 | $40K |
| 2022 | 2,571 | $86K |
| 2023 | 2,041 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,928 | 1,754 | $77K |
| 92340 | 1,422 | 1,307 | $75K | |
| 92015 | 1,674 | 1,534 | $22K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 690 | 643 | $18K |
| 92014 | 329 | 314 | $18K | |
| V2784 | Lens polycarb or equal | 710 | 686 | $12K |
| 92004 | 149 | 130 | $8K | |
| 92012 | 209 | 199 | $7K | |
| 92002 | 155 | 147 | $7K | |
| V2100 | Lens spher single plano 4.00 | 94 | 91 | $2K |
| 92341 | 44 | 44 | $2K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $573.15 |