NPI: 1699410803 · FAIRFIELD, CT 06825 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 434 | $13K |
| 2023 | 3,580 | $120K |
| 2024 | 4,197 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,772 | 1,657 | $62K | |
| 92250 | 1,623 | 1,515 | $60K | |
| 92014 | 1,047 | 994 | $49K | |
| V2020 | Vision svcs frames purchases | 1,104 | 1,074 | $32K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 781 | 748 | $22K |
| 92340 | 1,023 | 996 | $22K | |
| 92004 | 253 | 242 | $16K | |
| S0580 | Polycarb lens | 431 | 413 | $12K |
| 99204 | 24 | 24 | $2K | |
| V2100 | Lens spher single plano 4.00 | 86 | 76 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 37 | 21 | $719.55 |
| 99213 | 15 | 14 | $502.32 | |
| V2107 | Spherocylinder 4.25d/12-2d | 15 | 12 | $291.07 |