NPI: 1659937027 · OMAHA, NE 68144 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 6,244 | $222K |
| 2020 | 7,946 | $286K |
| 2021 | 4,598 | $166K |
| 2022 | 2,327 | $94K |
| 2023 | 2,875 | $122K |
| 2024 | 2,471 | $98K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 5,651 | 5,471 | $253K | |
| V2020 | Vision svcs frames purchases | 5,834 | 5,580 | $240K |
| V2100 | Lens spher single plano 4.00 | 5,311 | 5,141 | $171K |
| 92014 | 2,378 | 2,349 | $134K | |
| 92004 | 1,096 | 1,073 | $77K | |
| 92015 | 4,400 | 4,229 | $66K | |
| V2784 | Lens polycarb or equal | 1,257 | 1,242 | $28K |
| 92012 | 250 | 237 | $8K | |
| 92002 | 206 | 182 | $6K | |
| V2200 | Lens spher bifoc plano 4.00d | 41 | 41 | $2K |
| 92341 | 37 | 37 | $2K |