NPI: 1831303437 · ELK RIVER, MN 55330 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,314 | $60K |
| 2019 | 8,442 | $303K |
| 2020 | 10,248 | $375K |
| 2021 | 13,431 | $516K |
| 2022 | 5,863 | $219K |
| 2023 | 5,331 | $201K |
| 2024 | 4,366 | $161K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 4,091 | 3,991 | $361K | |
| 92014 | 4,571 | 4,438 | $356K | |
| V2784 | Lens polycarb or equal | 9,826 | 9,132 | $331K |
| V2020 | Vision svcs frames purchases | 9,857 | 9,156 | $291K |
| 92015 | 10,050 | 9,770 | $116K | |
| 92340 | 4,811 | 4,558 | $91K | |
| 92250 | 3,546 | 3,419 | $85K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,809 | 3,504 | $85K |
| 92370 | 4,203 | 3,989 | $69K | |
| V2100 | Lens spher single plano 4.00 | 798 | 762 | $37K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 252 | 209 | $9K |
| 92341 | 157 | 153 | $4K | |
| V2107 | Spherocylinder 4.25d/12-2d | 12 | 12 | $373.56 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $344.28 |