NPI: 1770851446 · IDAHO FALLS, ID 83401 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,555 | $395K |
| 2019 | 11,794 | $423K |
| 2020 | 11,320 | $424K |
| 2021 | 11,877 | $456K |
| 2022 | 13,866 | $560K |
| 2023 | 11,931 | $436K |
| 2024 | 11,104 | $383K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 12,403 | 12,383 | $1.31M | |
| 92340 | 21,604 | 21,187 | $508K | |
| 92004 | 3,256 | 3,246 | $411K | |
| 99214 | 4,239 | 4,138 | $403K | |
| 99213 | 3,682 | 3,600 | $262K | |
| 99204 | 1,240 | 1,238 | $168K | |
| 92250 | 367 | 367 | $13K | |
| 92060 | 59 | 58 | $3K | |
| 92015 | 16,342 | 16,304 | $263.52 | |
| V2020 | Vision svcs frames purchases | 19,255 | 18,862 | $0.00 |