NPI: 1861827578 · SAINT PAUL, MN 55102 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 108 | $4K |
| 2020 | 69 | $2K |
| 2021 | 183 | $8K |
| 2022 | 1,103 | $45K |
| 2023 | 1,866 | $79K |
| 2024 | 1,830 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 806 | 768 | $60K |
| 92004 | 357 | 349 | $35K | |
| 92014 | 406 | 398 | $34K | |
| V2020 | Vision svcs frames purchases | 1,003 | 964 | $29K |
| 92340 | 1,043 | 1,012 | $25K | |
| 92015 | 1,020 | 992 | $13K | |
| V2112 | Spherocylindr 7.25d/2.25-4d | 200 | 193 | $11K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 69 | 68 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 133 | 133 | $4K |
| V2107 | Spherocylinder 4.25d/12-2d | 61 | 60 | $2K |
| 92250 | 13 | 13 | $287.45 | |
| 92370 | 36 | 34 | $284.93 | |
| 2023F | 12 | 12 | $0.00 |