STATE UNIVERSITY OF IOWA
NPI: 1629219498
· IOWA CITY, IA 52242
· 152W00000X
$164K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,023 |
$14K |
| 2020 |
3,618 |
$45K |
| 2021 |
2,705 |
$36K |
| 2022 |
1,804 |
$23K |
| 2023 |
1,487 |
$19K |
| 2024 |
1,829 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,513 |
3,423 |
$85K |
| V2100 |
Lens spher single plano 4.00 |
1,790 |
1,760 |
$43K |
| V2784 |
Lens polycarb or equal |
3,004 |
2,932 |
$17K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
613 |
597 |
$12K |
| V2756 |
Eye glass case |
3,457 |
3,373 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
89 |
86 |
$3K |