NPI: 1831266576 · BRISTOL, CT 06010 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,817 | $623K |
| 2019 | 23,952 | $532K |
| 2020 | 12,675 | $323K |
| 2021 | 6,598 | $157K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 7,211 | 6,363 | $235K | |
| 92250 | 4,397 | 3,943 | $161K | |
| 99214 | 2,983 | 2,641 | $147K | |
| V2020 | Vision svcs frames purchases | 5,491 | 4,784 | $138K |
| V2100 | Lens spher single plano 4.00 | 7,372 | 3,398 | $100K |
| 65778 | 140 | 127 | $98K | |
| S0580 | Polycarb lens | 7,242 | 3,164 | $91K |
| 92285 | 3,647 | 3,298 | $74K | |
| 92014 | 1,509 | 1,366 | $69K | |
| 83861 | 5,244 | 2,401 | $66K | |
| 92283 | 2,713 | 2,462 | $51K | |
| 92004 | 889 | 782 | $51K | |
| 92226 | 5,042 | 2,289 | $50K | |
| 99203 | 918 | 834 | $48K | |
| 92340 | 2,607 | 2,230 | $45K | |
| 99213 | 1,094 | 914 | $35K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,924 | 1,062 | $29K |
| 99204 | 377 | 321 | $28K | |
| 92083 | 730 | 642 | $26K | |
| 92225 | 2,293 | 1,060 | $25K | |
| 92020 | 1,668 | 775 | $19K | |
| 95930 | 233 | 211 | $12K | |
| 92275 | 223 | 203 | $12K | |
| 92134 | 310 | 279 | $6K | |
| V2200 | Lens spher bifoc plano 4.00d | 268 | 126 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 218 | 110 | $4K |
| 92012 | 117 | 109 | $4K | |
| 92133 | 71 | 67 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 63 | 43 | $1K |
| V2107 | Spherocylinder 4.25d/12-2d | 29 | 17 | $604.53 |
| 92341 | 19 | 16 | $387.20 |