NPI: 1053592790 · HARTFORD, CT 06114 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,831 | $110K |
| 2019 | 3,959 | $112K |
| 2020 | 2,749 | $77K |
| 2021 | 3,787 | $108K |
| 2022 | 3,381 | $95K |
| 2023 | 3,198 | $89K |
| 2024 | 2,727 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 7,614 | 7,479 | $224K |
| 92340 | 5,537 | 5,432 | $109K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,065 | 3,029 | $101K |
| S0580 | Polycarb lens | 3,153 | 3,095 | $91K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,380 | 1,368 | $67K |
| 92341 | 1,982 | 1,962 | $47K | |
| V2100 | Lens spher single plano 4.00 | 575 | 568 | $18K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 300 | 283 | $8K |
| V2107 | Spherocylinder 4.25d/12-2d | 26 | 26 | $1K |