NPI: 1700994944 · GALLUP, NM 87301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,149 | $86K |
| 2019 | 4,176 | $112K |
| 2020 | 2,232 | $62K |
| 2021 | 2,561 | $75K |
| 2022 | 2,627 | $84K |
| 2023 | 2,599 | $132K |
| 2024 | 2,396 | $141K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,651 | 2,613 | $232K | |
| V2100 | Lens spher single plano 4.00 | 2,726 | 2,687 | $122K |
| 92340 | 4,681 | 4,605 | $91K | |
| V2020 | Vision svcs frames purchases | 3,199 | 3,162 | $80K |
| V2025 | Eyeglasses delux frames | 1,365 | 1,350 | $68K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 1,239 | 1,210 | $32K |
| 92004 | 279 | 276 | $24K | |
| 92012 | 290 | 290 | $21K | |
| 92015 | 2,986 | 2,938 | $17K | |
| V2200 | Lens spher bifoc plano 4.00d | 42 | 42 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 200 | 200 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 54 | 54 | $462.08 |
| V2799 | Misc vision item or service | 28 | 28 | $0.00 |