NPI: 1679139042 · LINCOLN, NE 68502 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $180.96 |
| 2021 | 2,179 | $84K |
| 2022 | 2,793 | $117K |
| 2023 | 3,935 | $174K |
| 2024 | 4,107 | $149K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 2,724 | 2,563 | $124K | |
| V2100 | Lens spher single plano 4.00 | 2,895 | 2,752 | $103K |
| V2020 | Vision svcs frames purchases | 2,548 | 2,340 | $87K |
| 92004 | 1,171 | 1,132 | $86K | |
| 92014 | 962 | 920 | $60K | |
| 92015 | 1,654 | 1,489 | $26K | |
| V2200 | Lens spher bifoc plano 4.00d | 262 | 245 | $14K |
| 92002 | 355 | 334 | $11K | |
| 92341 | 175 | 162 | $8K | |
| V2784 | Lens polycarb or equal | 193 | 172 | $4K |
| 92012 | 87 | 70 | $3K |