NPI: 1568463826 · IOWA CITY, IA 52242 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,221 | $45K |
| 2019 | 2,473 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,770 | 1,712 | $44K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 646 | 632 | $13K |
| V2100 | Lens spher single plano 4.00 | 481 | 465 | $10K |
| V2784 | Lens polycarb or equal | 1,106 | 1,076 | $8K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 77 | 75 | $2K |
| V2756 | Eye glass case | 1,544 | 1,503 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 54 | 53 | $1K |
| V2107 | Spherocylinder 4.25d/12-2d | 16 | 13 | $229.68 |