NPI: 1962644732 · JEFFERSON CITY, MO 65101 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 719 | $7K |
| 2019 | 1,155 | $12K |
| 2020 | 7,654 | $140K |
| 2021 | 15,721 | $287K |
| 2022 | 26,013 | $786K |
| 2023 | 37,577 | $1.45M |
| 2024 | 36,437 | $965K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 11,522 | 11,276 | $963K | |
| V2020 | Vision svcs frames purchases | 25,774 | 25,218 | $805K |
| 92014 | 12,849 | 12,577 | $798K | |
| V2784 | Lens polycarb or equal | 20,550 | 19,500 | $534K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 17,831 | 16,660 | $274K |
| 92015 | 27,081 | 26,404 | $118K | |
| V2100 | Lens spher single plano 4.00 | 3,972 | 3,840 | $51K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,389 | 972 | $37K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 2,293 | 2,182 | $31K |
| V2744 | Tint photochromatic lens/es | 1,369 | 1,013 | $24K |
| V2107 | Spherocylinder 4.25d/12-2d | 619 | 556 | $9K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 14 | 13 | $433.04 |
| 92002 | 13 | 13 | $345.40 |