NPI: 1649879164 · EAST HARTFORD, CT 06108 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 10,342 | $285K |
| 2022 | 8,202 | $280K |
| 2023 | 7,815 | $262K |
| 2024 | 7,263 | $261K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 7,549 | 7,116 | $269K | |
| 92014 | 5,248 | 4,966 | $241K | |
| V2020 | Vision svcs frames purchases | 4,882 | 4,571 | $134K |
| 92004 | 1,677 | 1,580 | $103K | |
| 92340 | 4,407 | 4,138 | $88K | |
| 92250 | 2,281 | 2,142 | $83K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,443 | 2,309 | $74K |
| 99213 | 1,367 | 1,190 | $45K | |
| S0580 | Polycarb lens | 1,509 | 1,439 | $41K |
| 92341 | 192 | 180 | $4K | |
| V2100 | Lens spher single plano 4.00 | 104 | 102 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 43 | 42 | $2K |
| 76514 | 27 | 26 | $164.40 | |
| 1036F | 924 | 867 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 969 | 912 | $0.00 |