NPI: 1588699318 · LINCOLN, NE 68503 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,067 | $220K |
| 2019 | 9,171 | $314K |
| 2020 | 8,146 | $286K |
| 2021 | 14,280 | $512K |
| 2022 | 16,005 | $594K |
| 2023 | 17,724 | $678K |
| 2024 | 22,972 | $942K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 14,668 | 14,486 | $1.14M | |
| 92014 | 8,680 | 8,589 | $521K | |
| 92004 | 6,645 | 6,606 | $486K | |
| V2020 | Vision svcs frames purchases | 17,105 | 16,950 | $342K |
| 92015 | 17,039 | 16,800 | $291K | |
| V2100 | Lens spher single plano 4.00 | 12,487 | 12,377 | $285K |
| 92341 | 2,328 | 2,310 | $183K | |
| V2784 | Lens polycarb or equal | 10,177 | 10,084 | $125K |
| V2200 | Lens spher bifoc plano 4.00d | 2,052 | 2,035 | $61K |
| 92250 | 1,197 | 1,119 | $42K | |
| 92002 | 628 | 611 | $29K | |
| 92012 | 817 | 786 | $29K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 514 | 513 | $10K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 28 | 28 | $755.60 |