NPI: 1174604995 · IOWA CITY, IA 52246 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,831 | $42K |
| 2019 | 1,451 | $33K |
| 2020 | 762 | $18K |
| 2021 | 843 | $19K |
| 2022 | 868 | $20K |
| 2023 | 540 | $12K |
| 2024 | 255 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,811 | 3,764 | $91K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,146 | 2,119 | $45K |
| V2100 | Lens spher single plano 4.00 | 319 | 315 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 129 | 128 | $5K |
| V2781 | Progressive lens per lens | 41 | 41 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 53 | 53 | $971.52 |
| V2750 | Anti-reflective coating | 39 | 38 | $246.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 12 | 12 | $225.00 |