NPI: 1083617013 · MANCHESTER, NH 03101 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31,423 | $1.97M |
| 2019 | 39,543 | $2.60M |
| 2020 | 38,104 | $2.95M |
| 2021 | 38,453 | $2.97M |
| 2022 | 35,279 | $3.06M |
| 2023 | 34,586 | $3.43M |
| 2024 | 28,059 | $3.18M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 111,384 | 87,904 | $19.69M |
| G0467 | Fqhc visit, estab pt | 9,739 | 6,006 | $120K |
| H0004 | Alcohol and/or drug services | 2,117 | 1,098 | $118K |
| 90686 | 5,753 | 4,905 | $36K | |
| 99213 | 58,982 | 47,699 | $28K | |
| H0038 | Self-help/peer svc per 15min | 909 | 212 | $26K |
| 0001A | 690 | 552 | $17K | |
| 0002A | 579 | 510 | $17K | |
| 99214 | 16,160 | 12,756 | $15K | |
| 90460 | 5,712 | 4,880 | $8K | |
| 0013A | 248 | 213 | $7K | |
| 92014 | 1,371 | 1,022 | $7K | |
| 0012A | 176 | 168 | $6K | |
| G2025 | Dis site tele svcs rhc/fqhc | 624 | 343 | $6K |
| 0003A | 149 | 138 | $6K | |
| 0011A | 144 | 137 | $5K | |
| 80305 | 646 | 456 | $5K | |
| T1027 | Family training & counseling | 429 | 329 | $4K |
| 86328 | 104 | 100 | $4K | |
| 90716 | 123 | 112 | $3K | |
| 92015 | 1,121 | 824 | $3K | |
| 97802 | 324 | 256 | $3K | |
| G0470 | Fqhc visit, mh estab pt | 236 | 97 | $3K |
| 0071A | 77 | 73 | $3K | |
| 90832 | 6,498 | 3,702 | $3K | |
| 90471 | 2,942 | 2,560 | $2K | |
| 0072A | 69 | 65 | $2K | |
| T1012 | Alcohol/substance abuse skil | 163 | 109 | $2K |
| 90656 | 485 | 449 | $2K | |
| 90834 | 2,522 | 1,445 | $2K | |
| 96372 | 169 | 137 | $2K | |
| 90792 | 485 | 387 | $1K | |
| 96110 | 317 | 300 | $1K | |
| 90461 | 2,091 | 1,733 | $1K | |
| 99211 | 524 | 430 | $1K | |
| 92340 | 69 | 62 | $1K | |
| 87880 | 97 | 92 | $733.25 | |
| 90648 | 411 | 345 | $659.76 | |
| 90715 | 35 | 34 | $615.54 | |
| 87811 | 93 | 91 | $496.56 | |
| 97803 | 28 | 28 | $484.81 | |
| 90707 | 61 | 58 | $470.97 | |
| 90723 | 254 | 212 | $451.00 | |
| 90633 | 212 | 181 | $429.00 | |
| 99391 | 1,016 | 854 | $390.06 | |
| 99395 | 386 | 356 | $350.15 | |
| 99460 | 16 | 12 | $334.60 | |
| 87804 | 24 | 24 | $258.72 | |
| V2020 | Vision svcs frames purchases | 53 | 52 | $240.50 |
| 11721 | 12 | 12 | $207.15 | |
| 99392 | 1,064 | 974 | $203.85 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 50 | 28 | $188.50 |
| V2760 | Scratch resistant coating | 106 | 52 | $148.00 |
| 90670 | 181 | 155 | $136.14 | |
| 99396 | 629 | 593 | $132.45 | |
| 90680 | 127 | 113 | $96.00 | |
| 99212 | 869 | 808 | $69.33 | |
| 99393 | 715 | 658 | $67.95 | |
| 99394 | 267 | 238 | $67.95 | |
| 99401 | 62 | 32 | $67.20 | |
| 90472 | 100 | 96 | $61.00 | |
| G0008 | Admin influenza virus vac | 288 | 195 | $60.52 |
| 99402 | 139 | 103 | $39.50 | |
| 99203 | 269 | 241 | $30.82 | |
| 90480 | 15 | 14 | $10.47 | |
| 90863 | 660 | 445 | $4.23 | |
| 90837 | 54 | 37 | $0.00 | |
| 90791 | 138 | 120 | $0.00 | |
| 91300 | 1,520 | 1,157 | $0.00 | |
| 90669 | 170 | 142 | $0.00 | |
| 99201 | 16 | 13 | $0.00 | |
| 90649 | 35 | 32 | $0.00 | |
| 91301 | 800 | 743 | $0.00 | |
| 90677 | 56 | 55 | $0.00 | |
| 99202 | 159 | 139 | $0.00 | |
| 91307 | 63 | 58 | $0.00 | |
| 90847 | 27 | 25 | $0.00 | |
| 90619 | 15 | 13 | $0.00 | |
| 90697 | 24 | 24 | $0.00 |