NPI: 1942577275 · MANKATO, MN 56001 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,090 | $25K |
| 2019 | 4,139 | $84K |
| 2020 | 2,271 | $46K |
| 2021 | 2,755 | $70K |
| 2022 | 1,653 | $40K |
| 2023 | 1,104 | $42K |
| 2024 | 694 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,059 | 4,421 | $112K |
| V2100 | Lens spher single plano 4.00 | 6,048 | 4,150 | $93K |
| V2784 | Lens polycarb or equal | 3,418 | 2,752 | $59K |
| 92014 | 604 | 587 | $34K | |
| 99214 | 184 | 179 | $14K | |
| 92004 | 152 | 151 | $12K | |
| 99204 | 78 | 74 | $4K | |
| 92340 | 82 | 82 | $2K | |
| G0438 | Ppps, initial visit | 15 | 15 | $1K |
| V2200 | Lens spher bifoc plano 4.00d | 66 | 62 | $846.90 |