NPI: 1275568701 · WEST HAVEN, CT 06516 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,592 | $147K |
| 2019 | 4,592 | $147K |
| 2020 | 3,340 | $110K |
| 2021 | 4,192 | $138K |
| 2022 | 3,910 | $129K |
| 2023 | 4,107 | $135K |
| 2024 | 3,145 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 5,767 | 5,233 | $193K | |
| 92014 | 3,971 | 3,755 | $187K | |
| V2020 | Vision svcs frames purchases | 5,118 | 4,721 | $141K |
| S0580 | Polycarb lens | 2,879 | 2,717 | $79K |
| 92004 | 1,202 | 1,125 | $74K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,474 | 2,320 | $69K |
| 92340 | 3,315 | 3,123 | $67K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 701 | 641 | $28K |
| 99214 | 536 | 490 | $26K | |
| 92341 | 1,163 | 1,083 | $26K | |
| 92250 | 519 | 471 | $17K | |
| V2100 | Lens spher single plano 4.00 | 187 | 173 | $4K |
| 99213 | 30 | 25 | $592.38 | |
| V2200 | Lens spher bifoc plano 4.00d | 16 | 12 | $372.00 |