NPI: 1972529360 · AMES, IA 50010 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 161 | $10K |
| 2019 | 123 | $8K |
| 2020 | 190 | $12K |
| 2021 | 82 | $5K |
| 2022 | 15 | $832.60 |
| 2023 | 649 | $15K |
| 2024 | 940 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 654 | 642 | $45K | |
| 92014 | 316 | 305 | $19K | |
| V2020 | Vision svcs frames purchases | 358 | 358 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 230 | 230 | $4K |
| V2784 | Lens polycarb or equal | 290 | 290 | $1K |
| V2100 | Lens spher single plano 4.00 | 28 | 28 | $280.72 |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 12 | 12 | $38.50 |
| 92015 | 272 | 272 | $0.00 |