NPI: 1942866371 · SAINT CLOUD, MN 56301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,754 | $60K |
| 2020 | 4,563 | $153K |
| 2021 | 6,010 | $212K |
| 2022 | 5,372 | $220K |
| 2023 | 8,067 | $347K |
| 2024 | 7,024 | $331K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 5,319 | 5,039 | $356K |
| V2020 | Vision svcs frames purchases | 7,183 | 6,745 | $253K |
| 92014 | 2,964 | 2,906 | $211K | |
| 92004 | 1,255 | 1,221 | $101K | |
| V2784 | Lens polycarb or equal | 2,802 | 2,553 | $88K |
| 92340 | 3,401 | 3,250 | $81K | |
| V2200 | Lens spher bifoc plano 4.00d | 1,014 | 954 | $81K |
| 92370 | 3,566 | 3,408 | $75K | |
| 92015 | 4,680 | 4,583 | $60K | |
| 92341 | 606 | 590 | $17K |