NPI: 1619003431 · STAMFORD, CT 06901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,829 | $131K |
| 2019 | 1,903 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,062 | 1,048 | $40K | |
| 92004 | 501 | 496 | $34K | |
| V2020 | Vision svcs frames purchases | 963 | 932 | $28K |
| 92014 | 537 | 529 | $28K | |
| 92340 | 880 | 850 | $19K | |
| S0580 | Polycarb lens | 1,002 | 973 | $14K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 603 | 588 | $10K |
| V2799 | Misc vision item or service | 1,016 | 984 | $6K |
| V2100 | Lens spher single plano 4.00 | 117 | 116 | $2K |
| 92341 | 51 | 50 | $1K |