NPI: 1952516049 · COLORADO SPRINGS, CO 80923 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,058 | $214K |
| 2022 | 7,581 | $280K |
| 2023 | 7,145 | $324K |
| 2024 | 4,550 | $213K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,794 | 2,621 | $269K | |
| 92004 | 1,364 | 1,256 | $147K | |
| V2020 | Vision svcs frames purchases | 2,489 | 2,088 | $113K |
| V2784 | Lens polycarb or equal | 2,684 | 2,222 | $105K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,926 | 1,602 | $93K |
| V2410 | Lens variab asphericity sing | 1,357 | 1,065 | $92K |
| V2750 | Anti-reflective coating | 2,718 | 2,233 | $73K |
| V2781 | Progressive lens per lens | 1,117 | 1,005 | $69K |
| 92340 | 2,805 | 2,319 | $48K | |
| V2744 | Tint photochromatic lens/es | 1,204 | 1,016 | $20K |
| 92015 | 4,848 | 4,461 | $3K | |
| V2100 | Lens spher single plano 4.00 | 16 | 13 | $637.55 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $530.24 |