NPI: 1497896963 · EAST HARTFORD, CT 06108 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,584 | $116K |
| 2019 | 3,404 | $110K |
| 2020 | 3,098 | $104K |
| 2021 | 3,128 | $106K |
| 2022 | 3,474 | $116K |
| 2023 | 3,566 | $114K |
| 2024 | 3,665 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 3,970 | 3,833 | $146K | |
| 92014 | 2,474 | 2,408 | $124K | |
| S0580 | Polycarb lens | 4,274 | 4,044 | $120K |
| V2020 | Vision svcs frames purchases | 4,185 | 3,968 | $119K |
| 92340 | 4,139 | 3,918 | $86K | |
| 92004 | 1,327 | 1,260 | $84K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,800 | 2,657 | $82K |
| V2100 | Lens spher single plano 4.00 | 725 | 694 | $17K |
| 92341 | 12 | 12 | $294.12 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 13 | $280.80 |