NPI: 1275684037 · HARTFORD, CT 06105 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,676 | $154K |
| 2019 | 5,947 | $187K |
| 2020 | 4,919 | $159K |
| 2021 | 5,988 | $184K |
| 2022 | 7,635 | $238K |
| 2023 | 7,768 | $251K |
| 2024 | 8,826 | $227K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 10,054 | 9,001 | $330K | |
| 92014 | 6,022 | 5,523 | $261K | |
| V2020 | Vision svcs frames purchases | 6,737 | 6,002 | $177K |
| 92004 | 2,487 | 2,234 | $147K | |
| 92250 | 3,752 | 3,279 | $124K | |
| 92340 | 5,362 | 4,794 | $103K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,632 | 3,256 | $99K |
| S0580 | Polycarb lens | 3,706 | 3,319 | $93K |
| 92012 | 1,045 | 924 | $29K | |
| 92145 | 1,913 | 1,657 | $15K | |
| 92083 | 172 | 155 | $6K | |
| 99213 | 207 | 183 | $6K | |
| 92020 | 327 | 308 | $4K | |
| 92133 | 169 | 152 | $3K | |
| V2100 | Lens spher single plano 4.00 | 99 | 91 | $2K |
| 92341 | 25 | 25 | $588.24 | |
| G8427 | Docrev cur meds by elig clin | 12 | 12 | $0.00 |
| 1036F | 38 | 37 | $0.00 |