NPI: 1194915900 · STAMFORD, CT 06905 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,600 | $108K |
| 2019 | 3,030 | $87K |
| 2020 | 2,501 | $71K |
| 2021 | 2,938 | $88K |
| 2022 | 2,467 | $73K |
| 2023 | 2,030 | $60K |
| 2024 | 1,646 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 3,010 | 2,735 | $97K | |
| V2020 | Vision svcs frames purchases | 3,472 | 3,196 | $88K |
| 92014 | 1,829 | 1,726 | $82K | |
| S0580 | Polycarb lens | 3,124 | 2,914 | $80K |
| V2100 | Lens spher single plano 4.00 | 2,378 | 2,229 | $67K |
| 92340 | 3,064 | 2,844 | $58K | |
| 92004 | 614 | 566 | $36K | |
| V2200 | Lens spher bifoc plano 4.00d | 309 | 278 | $12K |
| 99213 | 333 | 291 | $10K | |
| 92341 | 63 | 56 | $1K | |
| 92250 | 16 | 13 | $382.59 |