NPI: 1528329869 · DES MOINES, IA 50312 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,106 | $55K |
| 2019 | 1,353 | $28K |
| 2020 | 698 | $15K |
| 2021 | 523 | $10K |
| 2022 | 584 | $10K |
| 2023 | 430 | $8K |
| 2024 | 293 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,003 | 1,979 | $54K |
| 92012 | 874 | 867 | $42K | |
| V2100 | Lens spher single plano 4.00 | 438 | 433 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 355 | 354 | $8K |
| 92002 | 109 | 109 | $6K | |
| V2200 | Lens spher bifoc plano 4.00d | 151 | 148 | $5K |
| V2756 | Eye glass case | 1,905 | 1,887 | $2K |
| 92014 | 28 | 28 | $2K | |
| 92015 | 124 | 123 | $30.10 |