NPI: 1629151964 · COLUMBUS, NE 68601 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 727 | $16K |
| 2019 | 1,212 | $24K |
| 2020 | 835 | $16K |
| 2021 | 1,137 | $23K |
| 2022 | 1,211 | $26K |
| 2023 | 818 | $18K |
| 2024 | 719 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,926 | 3,866 | $73K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,829 | 1,794 | $40K |
| V2100 | Lens spher single plano 4.00 | 672 | 667 | $17K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 176 | 167 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 44 | 44 | $1K |
| V2025 | Eyeglasses delux frames | 12 | 12 | $27.00 |