NPI: 1689670598 · INDEPENDENCE, IA 50644 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,112 | $30K |
| 2019 | 826 | $23K |
| 2020 | 288 | $10K |
| 2021 | 355 | $13K |
| 2022 | 409 | $15K |
| 2023 | 55 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 576 | 566 | $26K | |
| V2020 | Vision svcs frames purchases | 1,027 | 984 | $26K |
| 92002 | 423 | 415 | $23K | |
| 92004 | 66 | 61 | $5K | |
| 92014 | 87 | 81 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 180 | 166 | $4K |
| V2100 | Lens spher single plano 4.00 | 88 | 85 | $2K |
| 99213 | 40 | 39 | $1K | |
| 99214 | 14 | 14 | $502.60 | |
| V2756 | Eye glass case | 482 | 471 | $498.96 |
| 92015 | 62 | 61 | $15.05 |