NPI: 1346686482 · WEST HARTFORD, CT 06119 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,426 | $253K |
| 2019 | 5,926 | $278K |
| 2020 | 4,085 | $153K |
| 2021 | 4,736 | $167K |
| 2022 | 4,790 | $163K |
| 2023 | 4,568 | $158K |
| 2024 | 3,964 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 10,736 | 10,559 | $400K | |
| 92014 | 6,486 | 6,394 | $325K | |
| 92004 | 3,688 | 3,629 | $244K | |
| V2020 | Vision svcs frames purchases | 3,790 | 3,731 | $108K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,477 | 2,435 | $75K |
| 92340 | 3,451 | 3,415 | $71K | |
| S0580 | Polycarb lens | 1,873 | 1,851 | $52K |
| 92012 | 288 | 267 | $10K | |
| 92250 | 88 | 87 | $4K | |
| 92341 | 140 | 139 | $3K | |
| V2100 | Lens spher single plano 4.00 | 143 | 140 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 60 | 60 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 67 | 67 | $2K |
| 92370 | 208 | 208 | $1K |