NPI: 1225094881 · LE CLAIRE, IA 52753 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,479 | $321K |
| 2019 | 8,967 | $281K |
| 2020 | 5,556 | $181K |
| 2021 | 5,607 | $208K |
| 2022 | 5,488 | $202K |
| 2023 | 4,455 | $174K |
| 2024 | 3,727 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 8,213 | 8,006 | $552K | |
| 92004 | 4,009 | 3,938 | $371K | |
| V2020 | Vision svcs frames purchases | 10,873 | 10,255 | $253K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,573 | 5,168 | $131K |
| V2100 | Lens spher single plano 4.00 | 2,196 | 2,181 | $58K |
| 92250 | 1,065 | 976 | $50K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,094 | 1,014 | $36K |
| V2784 | Lens polycarb or equal | 2,098 | 1,826 | $20K |
| V2200 | Lens spher bifoc plano 4.00d | 288 | 278 | $10K |
| 99213 | 202 | 181 | $8K | |
| V2756 | Eye glass case | 7,062 | 6,604 | $7K |
| V2107 | Spherocylinder 4.25d/12-2d | 53 | 53 | $1K |
| V2299 | Lens bifocal speciality | 15 | 15 | $1K |
| V2781 | Progressive lens per lens | 16 | 16 | $868.84 |
| 92015 | 486 | 482 | $90.30 | |
| V2025 | Eyeglasses delux frames | 22 | 14 | $83.26 |
| V2750 | Anti-reflective coating | 14 | 13 | $0.00 |