NPI: 1184623860 · W DES MOINES, IA 50266 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,776 | $59K |
| 2019 | 1,708 | $57K |
| 2020 | 708 | $25K |
| 2021 | 572 | $23K |
| 2022 | 532 | $22K |
| 2023 | 319 | $13K |
| 2024 | 142 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,281 | 1,168 | $72K | |
| 92004 | 676 | 638 | $55K | |
| V2020 | Vision svcs frames purchases | 2,087 | 1,957 | $46K |
| 99214 | 149 | 127 | $8K | |
| 92133 | 314 | 282 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 145 | 137 | $3K |
| 99213 | 87 | 77 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 98 | 94 | $3K |
| 92083 | 83 | 72 | $2K | |
| 92012 | 49 | 38 | $2K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 17 | 16 | $701.44 |
| V2756 | Eye glass case | 666 | 638 | $612.36 |
| 92020 | 34 | 27 | $598.40 | |
| 92134 | 15 | 13 | $214.16 | |
| 76514 | 14 | 13 | $41.85 | |
| V2781 | Progressive lens per lens | 42 | 41 | $0.00 |