NPI: 1417982828 · CLINTON, IA 52732 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,231 | $104K |
| 2019 | 2,522 | $75K |
| 2020 | 1,814 | $51K |
| 2021 | 1,856 | $55K |
| 2022 | 2,017 | $61K |
| 2023 | 1,806 | $52K |
| 2024 | 1,149 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,543 | 2,477 | $160K | |
| 92004 | 1,244 | 1,216 | $110K | |
| V2020 | Vision svcs frames purchases | 3,574 | 3,388 | $82K |
| V2100 | Lens spher single plano 4.00 | 1,938 | 1,855 | $47K |
| V2200 | Lens spher bifoc plano 4.00d | 407 | 393 | $14K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 522 | 493 | $12K |
| 99213 | 83 | 65 | $2K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 17 | 15 | $443.28 |
| V2784 | Lens polycarb or equal | 79 | 75 | $427.28 |
| 92015 | 3,974 | 3,885 | $45.15 | |
| 92340 | 14 | 14 | $0.00 |