NPI: 1881673267 · BOONE, IA 50036 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,519 | $48K |
| 2019 | 1,256 | $38K |
| 2020 | 285 | $14K |
| 2021 | 408 | $19K |
| 2022 | 333 | $15K |
| 2023 | 277 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,286 | 1,263 | $82K | |
| V2020 | Vision svcs frames purchases | 1,036 | 986 | $26K |
| V2110 | Spherocylinder 4.25d/over 6d | 834 | 417 | $20K |
| 92004 | 159 | 155 | $14K | |
| V2100 | Lens spher single plano 4.00 | 106 | 97 | $2K |
| V2756 | Eye glass case | 514 | 505 | $536.76 |
| V2784 | Lens polycarb or equal | 84 | 82 | $122.08 |
| 92015 | 59 | 57 | $0.00 |