NPI: 1962844316 · COUNCIL BLUFFS, IA 51501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,155 | $137K |
| 2019 | 5,444 | $142K |
| 2020 | 3,595 | $94K |
| 2021 | 4,610 | $131K |
| 2022 | 1,977 | $49K |
| 2023 | 59 | $1K |
| 2024 | 280 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,219 | 3,091 | $206K | |
| 92004 | 2,029 | 1,974 | $180K | |
| V2020 | Vision svcs frames purchases | 4,041 | 3,841 | $106K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,012 | 1,799 | $38K |
| 99213 | 298 | 260 | $12K | |
| V2100 | Lens spher single plano 4.00 | 588 | 568 | $12K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 115 | 109 | $3K |
| V2784 | Lens polycarb or equal | 897 | 854 | $3K |
| V2756 | Eye glass case | 2,644 | 2,540 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 73 | 68 | $1K |
| 92083 | 12 | 12 | $631.92 | |
| 92285 | 15 | 12 | $582.66 | |
| 92015 | 5,105 | 4,911 | $30.10 | |
| V2750 | Anti-reflective coating | 72 | 72 | $0.00 |