NPI: 1639404304 · ST GEORGE, UT 84790 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,911 | $82K |
| 2019 | 1,787 | $76K |
| 2020 | 1,516 | $65K |
| 2021 | 1,704 | $72K |
| 2022 | 1,357 | $55K |
| 2023 | 289 | $7K |
| 2024 | 406 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,901 | 2,800 | $142K | |
| 92015 | 4,370 | 4,281 | $123K | |
| 99204 | 888 | 868 | $56K | |
| 92014 | 288 | 285 | $20K | |
| 92004 | 188 | 188 | $15K | |
| V2020 | Vision svcs frames purchases | 237 | 222 | $11K |
| V2101 | Single visn sphere 4.12-7.00 | 67 | 52 | $840.00 |
| 92250 | 13 | 12 | $433.12 | |
| V2100 | Lens spher single plano 4.00 | 18 | 12 | $344.00 |