NPI: 1801818802 · WILLIMANTIC, CT 06226 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,309 | $46K |
| 2019 | 2,929 | $57K |
| 2020 | 1,795 | $42K |
| 2021 | 2,936 | $84K |
| 2022 | 1,891 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 4,200 | 3,309 | $96K | |
| 92014 | 3,324 | 2,745 | $76K | |
| 92004 | 1,088 | 952 | $55K | |
| V2020 | Vision svcs frames purchases | 688 | 619 | $18K |
| S0580 | Polycarb lens | 905 | 393 | $11K |
| 92012 | 476 | 347 | $8K | |
| 92340 | 336 | 323 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 223 | 130 | $4K |
| 92134 | 374 | 292 | $3K | |
| 99213 | 87 | 74 | $2K | |
| 99214 | 51 | 40 | $1K | |
| 92133 | 74 | 66 | $912.00 | |
| 92002 | 21 | 12 | $430.30 | |
| 92341 | 13 | 13 | $314.60 |