NPI: 1952353989 · CROMWELL, CT 06416 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,210 | $361K |
| 2019 | 10,470 | $300K |
| 2020 | 8,819 | $241K |
| 2021 | 10,130 | $273K |
| 2022 | 9,299 | $246K |
| 2023 | 10,423 | $287K |
| 2024 | 6,103 | $183K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 11,874 | 11,129 | $392K | |
| 92014 | 8,182 | 7,791 | $364K | |
| V2020 | Vision svcs frames purchases | 8,543 | 8,218 | $236K |
| 92340 | 9,296 | 8,959 | $189K | |
| 92250 | 4,753 | 4,516 | $165K | |
| 92004 | 2,753 | 2,608 | $163K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 8,876 | 4,696 | $141K |
| S0580 | Polycarb lens | 4,056 | 2,575 | $62K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 2,195 | 1,172 | $50K |
| 99212 | 2,061 | 1,781 | $36K | |
| 92082 | 635 | 623 | $23K | |
| 99213 | 775 | 630 | $19K | |
| V2100 | Lens spher single plano 4.00 | 1,091 | 754 | $16K |
| 92083 | 267 | 245 | $8K | |
| 92012 | 278 | 243 | $7K | |
| 92310 | 142 | 139 | $6K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 264 | 175 | $4K |
| 92133 | 210 | 197 | $4K | |
| V2107 | Spherocylinder 4.25d/12-2d | 138 | 83 | $3K |
| 92145 | 211 | 202 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 36 | 25 | $892.80 |
| 76514 | 152 | 144 | $726.10 | |
| 95930 | 12 | 12 | $612.02 | |
| 92275 | 12 | 12 | $544.32 | |
| V2702 | Deluxe lens feature | 514 | 494 | $0.00 |
| V2784 | Lens polycarb or equal | 128 | 64 | $0.00 |