NPI: 1629209051 · PITTSBURG, KS 66762 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,159 | $55K |
| 2019 | 4,883 | $116K |
| 2020 | 5,226 | $133K |
| 2021 | 5,791 | $155K |
| 2022 | 5,598 | $167K |
| 2023 | 2,757 | $81K |
| 2024 | 2,775 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,846 | 6,314 | $242K |
| 92014 | 3,312 | 3,084 | $189K | |
| 92004 | 1,701 | 1,595 | $142K | |
| V2100 | Lens spher single plano 4.00 | 2,215 | 2,031 | $88K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,902 | 1,346 | $42K |
| 92015 | 7,930 | 7,411 | $40K | |
| S0580 | Polycarb lens | 4,235 | 3,236 | $29K |
| 92012 | 219 | 209 | $9K | |
| V2784 | Lens polycarb or equal | 458 | 400 | $9K |
| 99213 | 48 | 38 | $1K | |
| 92340 | 1,275 | 1,239 | $120.00 | |
| G8732 | No doc of pain | 24 | 24 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 24 | 24 | $0.00 |