NPI: 1861484081 · NEW HAVEN, CT 06515 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,679 | $540K |
| 2019 | 15,605 | $504K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,817 | 4,683 | $234K | |
| 92015 | 5,856 | 5,651 | $212K | |
| V2020 | Vision svcs frames purchases | 5,756 | 5,539 | $164K |
| 92340 | 5,014 | 4,838 | $104K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,494 | 3,385 | $103K |
| S0580 | Polycarb lens | 2,827 | 2,739 | $79K |
| 92004 | 691 | 676 | $41K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 781 | 745 | $33K |
| V2100 | Lens spher single plano 4.00 | 1,181 | 1,156 | $27K |
| 92341 | 895 | 849 | $20K | |
| V2107 | Spherocylinder 4.25d/12-2d | 284 | 277 | $10K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 365 | 356 | $10K |
| 92250 | 56 | 53 | $2K | |
| 92133 | 81 | 79 | $2K | |
| 99212 | 80 | 71 | $2K | |
| 92134 | 79 | 74 | $1K | |
| V2200 | Lens spher bifoc plano 4.00d | 27 | 25 | $868.00 |