NPI: 1669924254 · WINDSOR, CT 06095 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,295 | $49K |
| 2020 | 2,923 | $87K |
| 2021 | 3,753 | $82K |
| 2022 | 4,104 | $105K |
| 2023 | 3,364 | $87K |
| 2024 | 3,860 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 3,378 | 2,975 | $106K | |
| V2020 | Vision svcs frames purchases | 3,192 | 2,625 | $75K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,743 | 1,971 | $59K |
| 92340 | 2,816 | 2,355 | $49K | |
| 99214 | 939 | 877 | $47K | |
| 92250 | 1,293 | 1,188 | $46K | |
| S0580 | Polycarb lens | 1,800 | 1,445 | $40K |
| 92004 | 687 | 617 | $39K | |
| 99204 | 115 | 110 | $9K | |
| 99203 | 165 | 141 | $7K | |
| 92012 | 207 | 180 | $6K | |
| 92341 | 282 | 221 | $5K | |
| 92014 | 94 | 91 | $5K | |
| 99213 | 148 | 131 | $5K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 206 | 101 | $4K |
| V2100 | Lens spher single plano 4.00 | 202 | 120 | $3K |
| 92273 | 18 | 16 | $1K | |
| 99215 | Prolong outpt/office vis | 14 | 14 | $946.08 |