NPI: 1255739181 · CEDAR RAPIDS, IA 52402 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,282 | $42K |
| 2019 | 1,817 | $35K |
| 2020 | 1,067 | $22K |
| 2021 | 1,103 | $19K |
| 2022 | 1,023 | $21K |
| 2023 | 1,587 | $19K |
| 2024 | 954 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,004 | 4,669 | $106K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,963 | 2,744 | $52K |
| V2100 | Lens spher single plano 4.00 | 821 | 777 | $14K |
| V2784 | Lens polycarb or equal | 449 | 410 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 61 | 53 | $708.90 |
| V2107 | Spherocylinder 4.25d/12-2d | 41 | 41 | $698.18 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $277.05 |
| V2760 | Scratch resistant coating | 376 | 366 | $176.94 |
| V2799 | Misc vision item or service | 106 | 103 | $0.00 |