NPI: 1841856234 · LINCOLN, NE 68516 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,973 | $124K |
| 2020 | 5,506 | $251K |
| 2021 | 1,841 | $78K |
| 2022 | 2,752 | $107K |
| 2023 | 3,281 | $134K |
| 2024 | 4,084 | $159K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 5,654 | 5,411 | $237K | |
| V2100 | Lens spher single plano 4.00 | 5,769 | 5,511 | $228K |
| 92014 | 2,852 | 2,791 | $174K | |
| V2020 | Vision svcs frames purchases | 3,574 | 3,205 | $123K |
| 92004 | 796 | 767 | $58K | |
| 92015 | 1,561 | 1,366 | $24K | |
| V2200 | Lens spher bifoc plano 4.00d | 40 | 40 | $2K |
| 92012 | 58 | 56 | $2K | |
| 92002 | 50 | 48 | $2K | |
| 92341 | 25 | 25 | $1K | |
| V2784 | Lens polycarb or equal | 58 | 52 | $1K |