NPI: 1629128525 · SAFFORD, AZ 85546 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,732 | $500K |
| 2019 | 8,865 | $661K |
| 2020 | 1,635 | $122K |
| 2021 | 1,749 | $155K |
| 2022 | 6,431 | $578K |
| 2023 | 6,066 | $555K |
| 2024 | 4,116 | $396K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2410 | Lens variab asphericity sing | 4,407 | 4,338 | $932K |
| 92014 | 4,051 | 4,037 | $475K | |
| 92004 | 2,440 | 2,433 | $359K | |
| V2784 | Lens polycarb or equal | 4,154 | 4,098 | $342K |
| V2020 | Vision svcs frames purchases | 4,472 | 4,430 | $332K |
| 92340 | 4,435 | 4,393 | $147K | |
| 92015 | 6,611 | 6,583 | $124K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,254 | 2,250 | $118K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,471 | 1,464 | $71K |
| V2100 | Lens spher single plano 4.00 | 614 | 589 | $32K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 531 | 529 | $28K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 96 | 94 | $8K |
| V2780 | Oversize lens/es | 58 | 58 | $0.00 |