NPI: 1760048177 · OMAHA, NE 68124 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,600 | $82K |
| 2020 | 3,819 | $132K |
| 2021 | 7,341 | $271K |
| 2022 | 10,169 | $411K |
| 2023 | 12,764 | $537K |
| 2024 | 12,796 | $522K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 9,945 | 9,640 | $500K | |
| V2100 | Lens spher single plano 4.00 | 10,637 | 10,248 | $383K |
| V2020 | Vision svcs frames purchases | 9,055 | 8,544 | $353K |
| 92014 | 3,650 | 3,496 | $230K | |
| 92004 | 2,290 | 2,197 | $169K | |
| 92015 | 5,725 | 5,150 | $88K | |
| V2784 | Lens polycarb or equal | 4,033 | 3,826 | $80K |
| 92012 | 1,810 | 1,628 | $57K | |
| V2200 | Lens spher bifoc plano 4.00d | 567 | 551 | $33K |
| 92002 | 875 | 822 | $28K | |
| 92341 | 383 | 376 | $18K | |
| 92370 | 519 | 432 | $14K |