NPI: 1679629679 · HARTFORD, CT 06106 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,157 | $341K |
| 2019 | 11,729 | $331K |
| 2020 | 7,939 | $225K |
| 2021 | 9,735 | $278K |
| 2022 | 8,940 | $260K |
| 2023 | 8,972 | $266K |
| 2024 | 7,762 | $230K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 18,931 | 18,305 | $547K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 13,411 | 13,005 | $442K |
| 92340 | 13,939 | 13,496 | $281K | |
| S0580 | Polycarb lens | 8,732 | 8,448 | $249K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 4,142 | 4,049 | $201K |
| 92342 | 4,222 | 4,125 | $158K | |
| V2100 | Lens spher single plano 4.00 | 1,527 | 1,490 | $35K |
| 92371 | 2,185 | 2,110 | $14K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 116 | 110 | $4K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 29 | 28 | $1K |