NPI: 1760451470 · WEST HARTFORD, CT 06110 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 33,423 | $1.57M |
| 2019 | 33,197 | $1.63M |
| 2020 | 24,146 | $1.57M |
| 2021 | 45,300 | $1.61M |
| 2022 | 42,919 | $1.67M |
| 2023 | 47,128 | $1.82M |
| 2024 | 49,098 | $1.75M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0178 | Aflibercept injection | 5,581 | 3,380 | $4.20M |
| 92015 | 81,651 | 64,774 | $2.16M | |
| 92014 | 57,944 | 44,822 | $1.73M | |
| 92004 | 26,615 | 21,854 | $1.30M | |
| 99213 | 39,569 | 28,211 | $677K | |
| 66984 | 3,535 | 2,264 | $343K | |
| 67028 | 6,807 | 4,132 | $288K | |
| 99214 | 9,470 | 5,889 | $204K | |
| 92250 | 6,612 | 4,822 | $130K | |
| J2777 | Inj, faricimab-svoa, 0.1mg | 195 | 105 | $107K |
| 92134 | 11,901 | 7,966 | $105K | |
| 92133 | 6,697 | 4,950 | $76K | |
| 92083 | 3,896 | 2,865 | $67K | |
| 92012 | 2,897 | 2,627 | $57K | |
| 99203 | 1,079 | 894 | $47K | |
| 92285 | 2,512 | 1,943 | $40K | |
| 92136 | 3,079 | 2,271 | $36K | |
| V2020 | Vision svcs frames purchases | 598 | 531 | $16K |
| 83861 | 843 | 551 | $9K | |
| 99204 | 190 | 133 | $8K | |
| 92340 | 388 | 345 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 222 | 203 | $6K |
| S0580 | Polycarb lens | 172 | 153 | $5K |
| 92025 | 384 | 266 | $3K | |
| 99212 | 123 | 114 | $3K | |
| 76514 | 626 | 470 | $2K | |
| 92341 | 54 | 53 | $1K | |
| 92020 | 119 | 110 | $1K | |
| 83516 | 234 | 132 | $907.96 | |
| 99215 | Prolong outpt/office vis | 40 | 38 | $700.80 |
| 66821 | 23 | 13 | $692.76 | |
| 92002 | 27 | 24 | $652.33 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 14 | 13 | $598.80 |
| 92310 | 14 | 14 | $543.60 | |
| 92235 | 12 | 12 | $530.38 | |
| 92145 | 31 | 30 | $157.60 | |
| 99024 | 1,057 | 829 | $0.00 |