NPI: 1841568177 · CRYSTAL, MN 55428 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,880 | $31K |
| 2019 | 3,646 | $97K |
| 2020 | 2,434 | $52K |
| 2021 | 2,950 | $64K |
| 2022 | 3,481 | $65K |
| 2023 | 3,743 | $105K |
| 2024 | 3,465 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,704 | 6,347 | $208K |
| V2100 | Lens spher single plano 4.00 | 8,747 | 4,741 | $110K |
| V2784 | Lens polycarb or equal | 2,333 | 1,489 | $52K |
| 92014 | 941 | 921 | $50K | |
| 92340 | 1,291 | 1,253 | $30K | |
| V2200 | Lens spher bifoc plano 4.00d | 1,659 | 905 | $29K |
| 92004 | 460 | 453 | $27K | |
| 92341 | 392 | 378 | $11K | |
| S0580 | Polycarb lens | 72 | 70 | $15.09 |