NPI: 1093793903 · BURLINGTON, IA 52601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,193 | $107K |
| 2019 | 2,726 | $64K |
| 2020 | 1,611 | $36K |
| 2021 | 1,565 | $31K |
| 2022 | 1,862 | $46K |
| 2023 | 1,439 | $36K |
| 2024 | 740 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,356 | 2,300 | $143K | |
| V2020 | Vision svcs frames purchases | 2,642 | 2,498 | $65K |
| 92004 | 647 | 638 | $57K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,172 | 1,115 | $23K |
| 92250 | 547 | 509 | $19K | |
| 92082 | 565 | 505 | $16K | |
| 99213 | 311 | 294 | $10K | |
| V2756 | Eye glass case | 2,439 | 2,337 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 29 | 28 | $831.15 |
| 92083 | 15 | 15 | $524.34 | |
| 92133 | 15 | 15 | $386.29 | |
| V2100 | Lens spher single plano 4.00 | 13 | 12 | $165.88 |
| 92015 | 3,385 | 3,318 | $15.05 |