NPI: 1992919419 · COLORADO SPRINGS, CO 80909 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,033 | $151K |
| 2022 | 5,457 | $197K |
| 2023 | 4,598 | $218K |
| 2024 | 5,065 | $268K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,778 | 1,647 | $197K | |
| 92014 | 2,101 | 1,927 | $193K | |
| V2784 | Lens polycarb or equal | 1,986 | 1,494 | $84K |
| V2020 | Vision svcs frames purchases | 1,913 | 1,445 | $84K |
| V2410 | Lens variab asphericity sing | 994 | 736 | $70K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,396 | 1,040 | $68K |
| V2750 | Anti-reflective coating | 1,977 | 1,488 | $51K |
| 92340 | 2,027 | 1,526 | $33K | |
| V2781 | Progressive lens per lens | 578 | 399 | $27K |
| V2744 | Tint photochromatic lens/es | 1,399 | 1,112 | $25K |
| V2100 | Lens spher single plano 4.00 | 29 | 25 | $1K |
| 92015 | 3,959 | 3,590 | $943.41 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 16 | 12 | $673.64 |