NPI: 1922279637 · PUTNAM, CT 06260 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,004 | $121K |
| 2019 | 4,178 | $120K |
| 2020 | 2,508 | $75K |
| 2021 | 2,514 | $72K |
| 2022 | 2,640 | $72K |
| 2023 | 2,679 | $74K |
| 2024 | 1,982 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 4,234 | 3,739 | $133K | |
| V2020 | Vision svcs frames purchases | 3,688 | 3,364 | $99K |
| S0580 | Polycarb lens | 3,538 | 3,345 | $98K |
| 92014 | 1,839 | 1,701 | $80K | |
| 92340 | 3,117 | 2,872 | $62K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,746 | 1,574 | $44K |
| V2100 | Lens spher single plano 4.00 | 1,237 | 1,101 | $28K |
| 92004 | 440 | 415 | $27K | |
| 99214 | 520 | 464 | $19K | |
| 92341 | 36 | 34 | $808.83 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 15 | 13 | $523.95 |
| 92202 | 70 | 64 | $447.50 | |
| 92226 | 25 | 13 | $238.14 |