NPI: 1548264245 · COFFEYVILLE, KS 67337 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 593 | $13K |
| 2019 | 3,195 | $101K |
| 2020 | 2,660 | $90K |
| 2021 | 2,640 | $94K |
| 2022 | 2,885 | $105K |
| 2023 | 2,992 | $112K |
| 2024 | 2,006 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,593 | 2,520 | $169K | |
| V2020 | Vision svcs frames purchases | 3,458 | 3,352 | $137K |
| V2100 | Lens spher single plano 4.00 | 2,021 | 1,980 | $102K |
| 92004 | 522 | 507 | $49K | |
| V2200 | Lens spher bifoc plano 4.00d | 687 | 666 | $47K |
| V2760 | Scratch resistant coating | 1,445 | 1,400 | $25K |
| 92015 | 4,105 | 4,017 | $24K | |
| S0580 | Polycarb lens | 1,538 | 1,504 | $15K |
| 92012 | 311 | 305 | $14K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 227 | 216 | $7K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 48 | 45 | $2K |
| 99213 | 16 | 14 | $489.73 |