NPI: 1962829580 · EDINA, MN 55435 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,911 | $121K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 568 | 562 | $24K |
| 92014 | 254 | 252 | $23K | |
| 92004 | 208 | 203 | $23K | |
| V2020 | Vision svcs frames purchases | 573 | 567 | $19K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 240 | 239 | $8K |
| 92370 | 295 | 294 | $7K | |
| 92015 | 464 | 457 | $6K | |
| 92340 | 213 | 212 | $6K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 58 | 56 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 13 | $428.88 |
| 92341 | 13 | 12 | $378.84 | |
| 92250 | 12 | 12 | $342.06 |