NPI: 1992286579 · FORT COLLINS, CO 80525 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 721 | $19K |
| 2019 | 3,196 | $87K |
| 2020 | 1,995 | $59K |
| 2021 | 2,760 | $63K |
| 2022 | 1,782 | $47K |
| 2023 | 2,369 | $75K |
| 2024 | 1,668 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,915 | 4,581 | $157K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,119 | 2,899 | $116K |
| V2784 | Lens polycarb or equal | 4,299 | 4,003 | $83K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 650 | 599 | $22K |
| V2100 | Lens spher single plano 4.00 | 670 | 616 | $21K |
| V2750 | Anti-reflective coating | 682 | 589 | $15K |
| V2107 | Spherocylinder 4.25d/12-2d | 34 | 28 | $1K |
| V2760 | Scratch resistant coating | 14 | 14 | $0.00 |
| V2799 | Misc vision item or service | 108 | 101 | $0.00 |