NPI: 1841286176 · DES MOINES, IA 50316 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 876 | $61K |
| 2019 | 1,736 | $48K |
| 2020 | 869 | $26K |
| 2021 | 651 | $18K |
| 2022 | 146 | $3K |
| 2023 | 79 | $3K |
| 2024 | 29 | $366.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 760 | 734 | $68K | |
| 92014 | 817 | 788 | $52K | |
| V2020 | Vision svcs frames purchases | 1,179 | 1,127 | $29K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 343 | 316 | $8K |
| V2756 | Eye glass case | 1,194 | 1,141 | $1K |
| V2100 | Lens spher single plano 4.00 | 19 | 19 | $484.88 |
| 99213 | 14 | 12 | $475.53 | |
| 99214 | 28 | 27 | $411.74 | |
| 92015 | 32 | 28 | $0.00 |