NPI: 1104224179 · DES MOINES, IA 50310 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,447 | $72K |
| 2019 | 3,276 | $69K |
| 2020 | 2,235 | $45K |
| 2021 | 1,432 | $29K |
| 2022 | 2,341 | $47K |
| 2023 | 2,631 | $32K |
| 2024 | 2,197 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 8,214 | 7,779 | $176K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,203 | 4,925 | $98K |
| V2100 | Lens spher single plano 4.00 | 1,374 | 1,276 | $22K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 548 | 527 | $15K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 710 | 669 | $11K |
| V2784 | Lens polycarb or equal | 1,388 | 1,323 | $10K |
| V2107 | Spherocylinder 4.25d/12-2d | 109 | 106 | $2K |
| V2750 | Anti-reflective coating | 13 | 13 | $38.70 |