NPI: 1780653378 · FAIRFIELD, CT 06825 · 152WL0500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,549 | $87K |
| 2019 | 2,603 | $89K |
| 2020 | 2,200 | $76K |
| 2021 | 3,289 | $117K |
| 2022 | 2,646 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 2,859 | 2,730 | $104K | |
| 92014 | 1,859 | 1,789 | $88K | |
| 92250 | 1,920 | 1,835 | $73K | |
| V2020 | Vision svcs frames purchases | 1,907 | 1,842 | $54K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,429 | 1,375 | $42K |
| 92340 | 1,757 | 1,699 | $37K | |
| 92004 | 521 | 498 | $33K | |
| S0580 | Polycarb lens | 925 | 890 | $26K |
| 99214 | 28 | 26 | $1K | |
| 99204 | 14 | 14 | $1K | |
| V2100 | Lens spher single plano 4.00 | 52 | 51 | $1K |
| 92341 | 16 | 14 | $318.63 |