NPI: 1407880883 · MASON CITY, IA 50401 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,523 | $100K |
| 2019 | 3,463 | $100K |
| 2020 | 2,258 | $72K |
| 2021 | 2,616 | $80K |
| 2022 | 2,686 | $79K |
| 2023 | 1,993 | $59K |
| 2024 | 1,341 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,455 | 3,336 | $210K | |
| 92004 | 1,782 | 1,749 | $156K | |
| V2020 | Vision svcs frames purchases | 3,543 | 3,184 | $79K |
| V2100 | Lens spher single plano 4.00 | 2,785 | 2,449 | $64K |
| 92250 | 214 | 199 | $8K | |
| V2200 | Lens spher bifoc plano 4.00d | 121 | 107 | $4K |
| 92012 | 86 | 67 | $3K | |
| 99214 | 18 | 12 | $801.60 | |
| V2756 | Eye glass case | 490 | 463 | $483.84 |
| 92015 | 5,372 | 5,212 | $15.05 | |
| 92285 | 14 | 13 | $0.00 |