NPI: 1518220102 · OSCEOLA, IA 50213 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,882 | $98K |
| 2019 | 2,734 | $86K |
| 2020 | 1,151 | $50K |
| 2021 | 1,685 | $74K |
| 2022 | 1,439 | $62K |
| 2023 | 1,661 | $60K |
| 2024 | 858 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,406 | 3,282 | $205K | |
| 92004 | 1,592 | 1,550 | $136K | |
| V2020 | Vision svcs frames purchases | 2,925 | 2,743 | $71K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,003 | 921 | $19K |
| V2100 | Lens spher single plano 4.00 | 717 | 694 | $15K |
| 92370 | 484 | 455 | $7K | |
| 92250 | 110 | 97 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 99 | 85 | $2K |
| V2756 | Eye glass case | 2,019 | 1,883 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 15 | 15 | $544.75 |
| 99213 | 15 | 14 | $432.30 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $204.16 |
| 92015 | 13 | 13 | $30.10 |