NPI: 1134203466 · DES MOINES, IA 50312 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,983 | $47K |
| 2020 | 1,278 | $30K |
| 2021 | 1,412 | $35K |
| 2022 | 1,041 | $23K |
| 2023 | 1,216 | $32K |
| 2024 | 1,735 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,252 | 3,183 | $83K |
| 92012 | 1,335 | 1,290 | $61K | |
| 92014 | 418 | 418 | $29K | |
| 92004 | 146 | 138 | $13K | |
| 92002 | 132 | 130 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 226 | 225 | $5K |
| 92015 | 382 | 332 | $4K | |
| V2756 | Eye glass case | 2,589 | 2,555 | $3K |
| V2100 | Lens spher single plano 4.00 | 43 | 43 | $1K |
| 3072F | 142 | 142 | $0.00 |