NPI: 1043668700 · CENTERVILLE, IA 52544 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,914 | $82K |
| 2019 | 2,046 | $71K |
| 2020 | 1,643 | $53K |
| 2021 | 2,004 | $47K |
| 2022 | 1,863 | $59K |
| 2023 | 1,274 | $43K |
| 2024 | 919 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 2,168 | 2,080 | $189K |
| 92014 | 1,028 | 994 | $67K | |
| V2020 | Vision svcs frames purchases | 2,973 | 2,680 | $56K |
| 92004 | 326 | 320 | $30K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,266 | 1,131 | $18K |
| S0620 | Routine ophthalmological exa | 349 | 263 | $15K |
| V2100 | Lens spher single plano 4.00 | 399 | 371 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 115 | 109 | $3K |
| 92250 | 30 | 24 | $775.33 | |
| 92015 | 2,971 | 2,912 | $602.00 | |
| V2756 | Eye glass case | 38 | 38 | $34.56 |