NPI: 1902443419 · LITTLETON, CO 80123 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,024 | $80K |
| 2021 | 2,592 | $110K |
| 2022 | 1,837 | $77K |
| 2023 | 2,503 | $122K |
| 2024 | 1,613 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,628 | 1,577 | $163K | |
| V2410 | Lens variab asphericity sing | 700 | 680 | $90K |
| V2020 | Vision svcs frames purchases | 1,361 | 1,303 | $57K |
| 92004 | 459 | 441 | $55K | |
| V2784 | Lens polycarb or equal | 1,180 | 1,138 | $38K |
| V2750 | Anti-reflective coating | 1,199 | 1,156 | $31K |
| 92340 | 1,142 | 1,103 | $21K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 429 | 403 | $19K |
| V2100 | Lens spher single plano 4.00 | 18 | 18 | $837.72 |
| 92015 | 2,440 | 2,350 | $785.26 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 13 | $745.62 |