NPI: 1972681849 · HARTFORD, CT 06106 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,721 | $213K |
| 2019 | 5,086 | $190K |
| 2020 | 4,626 | $179K |
| 2021 | 4,537 | $167K |
| 2022 | 4,795 | $170K |
| 2023 | 5,187 | $185K |
| 2024 | 3,675 | $124K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 6,323 | 6,292 | $211K | |
| 92014 | 4,750 | 4,711 | $207K | |
| V2520 | Contact lens hydrophilic | 1,295 | 1,288 | $177K |
| V2020 | Vision svcs frames purchases | 5,189 | 5,152 | $138K |
| 92004 | 1,447 | 1,444 | $86K | |
| 92340 | 3,965 | 3,933 | $81K | |
| 92100 | 1,975 | 1,969 | $81K | |
| 92310 | 1,348 | 1,341 | $58K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,643 | 1,629 | $54K |
| V2100 | Lens spher single plano 4.00 | 1,318 | 1,306 | $39K |
| S0580 | Polycarb lens | 1,377 | 1,360 | $39K |
| 92341 | 1,186 | 1,179 | $22K | |
| 92325 | Contact lens gas impermeable | 1,126 | 1,119 | $12K |
| V2200 | Lens spher bifoc plano 4.00d | 213 | 211 | $8K |
| 92314 | 226 | 226 | $7K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 165 | 162 | $6K |
| 92012 | 81 | 81 | $2K |