NPI: 1790894616 · NAUGATUCK, CT 06770 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,225 | $143K |
| 2019 | 3,991 | $137K |
| 2020 | 3,127 | $109K |
| 2021 | 3,232 | $110K |
| 2022 | 2,845 | $94K |
| 2023 | 2,647 | $88K |
| 2024 | 2,589 | $86K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 5,753 | 5,379 | $201K | |
| 92014 | 4,077 | 3,927 | $193K | |
| V2020 | Vision svcs frames purchases | 4,012 | 3,837 | $115K |
| 92340 | 3,331 | 3,218 | $70K | |
| 92004 | 1,102 | 1,060 | $69K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,223 | 2,154 | $65K |
| S0580 | Polycarb lens | 1,653 | 1,603 | $39K |
| V2100 | Lens spher single plano 4.00 | 258 | 249 | $6K |
| 99213 | 157 | 130 | $5K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 39 | 38 | $1K |
| 92342 | 13 | 13 | $338.78 | |
| 92341 | 12 | 12 | $294.12 | |
| 92133 | 13 | 13 | $282.15 | |
| G8427 | Docrev cur meds by elig clin | 13 | 12 | $0.00 |