NPI: 1881657617 · COUNCIL BLUFFS, IA 51501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,100 | $195K |
| 2019 | 4,766 | $168K |
| 2020 | 3,286 | $122K |
| 2021 | 3,124 | $117K |
| 2022 | 1,767 | $57K |
| 2023 | 1,684 | $52K |
| 2024 | 1,415 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,251 | 3,113 | $283K | |
| 92014 | 4,218 | 3,956 | $255K | |
| V2020 | Vision svcs frames purchases | 5,719 | 4,891 | $123K |
| V2100 | Lens spher single plano 4.00 | 2,821 | 2,465 | $49K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,160 | 1,030 | $24K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 227 | 204 | $7K |
| V2200 | Lens spher bifoc plano 4.00d | 195 | 171 | $5K |
| 92250 | 114 | 108 | $3K | |
| V2756 | Eye glass case | 2,498 | 2,354 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 13 | $229.68 |
| 92015 | 914 | 891 | $0.00 | |
| 2022F | 12 | 12 | $0.00 |