NPI: 1215223532 · ROBINS, IA 52328 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,519 | $80K |
| 2019 | 2,258 | $73K |
| 2020 | 1,125 | $41K |
| 2021 | 1,289 | $53K |
| 2022 | 1,423 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,284 | 2,220 | $139K | |
| V2020 | Vision svcs frames purchases | 2,292 | 2,181 | $55K |
| 92004 | 597 | 584 | $52K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 676 | 615 | $14K |
| V2100 | Lens spher single plano 4.00 | 500 | 472 | $12K |
| 92370 | 578 | 557 | $8K | |
| 92250 | 205 | 196 | $5K | |
| S0621 | Routine ophthalmological exa | 26 | 26 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 65 | 61 | $2K |
| V2756 | Eye glass case | 864 | 842 | $895.39 |
| 92015 | 527 | 487 | $0.00 |