NPI: 1386621985 · BURLINGTON, IA 52601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,069 | $75K |
| 2019 | 1,672 | $35K |
| 2020 | 1,094 | $25K |
| 2021 | 1,396 | $30K |
| 2022 | 1,691 | $41K |
| 2023 | 986 | $22K |
| 2024 | 719 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,098 | 2,060 | $130K | |
| V2020 | Vision svcs frames purchases | 2,142 | 2,043 | $53K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,032 | 989 | $23K |
| 92004 | 257 | 250 | $23K | |
| 99213 | 352 | 307 | $10K | |
| V2756 | Eye glass case | 1,964 | 1,914 | $2K |
| 92082 | 26 | 24 | $583.93 | |
| 92250 | 14 | 14 | $253.22 | |
| 92015 | 2,742 | 2,687 | $45.15 |