NPI: 1689870248 · OMAHA, NE 68114 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,691 | $126K |
| 2019 | 4,061 | $115K |
| 2020 | 4,279 | $119K |
| 2021 | 5,253 | $147K |
| 2022 | 267 | $8K |
| 2023 | 332 | $10K |
| 2024 | 3,354 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 3,949 | 3,839 | $176K | |
| V2020 | Vision svcs frames purchases | 3,854 | 3,710 | $153K |
| 92015 | 4,301 | 4,143 | $70K | |
| 92004 | 650 | 635 | $45K | |
| 92002 | 863 | 842 | $35K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,216 | 1,175 | $33K |
| 92012 | 827 | 788 | $29K | |
| V2100 | Lens spher single plano 4.00 | 590 | 572 | $22K |
| V2784 | Lens polycarb or equal | 1,248 | 1,197 | $22K |
| 92341 | 168 | 163 | $9K | |
| 92014 | 162 | 153 | $8K | |
| V2756 | Eye glass case | 3,325 | 3,199 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 56 | 54 | $2K |
| 92250 | 28 | 28 | $615.62 |