NPI: 1124126073 · COFFEYVILLE, KS 67337 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 791 | $12K |
| 2019 | 773 | $12K |
| 2020 | 298 | $2K |
| 2021 | 219 | $1K |
| 2022 | 132 | $2K |
| 2023 | 325 | $4K |
| 2024 | 149 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 1,236 | 1,107 | $18K | |
| 90472 | 414 | 405 | $15K | |
| 90686 | 188 | 187 | $406.39 | |
| 99401 | 55 | 54 | $340.00 | |
| 90715 | 62 | 61 | $288.58 | |
| 90716 | 20 | 20 | $122.02 | |
| 90688 | 64 | 64 | $50.68 | |
| 90700 | 12 | 12 | $0.00 | |
| 90662 | 185 | 185 | $0.00 | |
| 83655 | 19 | 15 | $0.00 | |
| 90734 | 45 | 43 | $0.00 | |
| 90633 | 31 | 28 | $0.00 | |
| 90707 | 17 | 17 | $0.00 | |
| G0008 | Admin influenza virus vac | 239 | 239 | $0.00 |
| 90651 | 14 | 14 | $0.00 | |
| 90619 | 21 | 21 | $0.00 | |
| 99402 | 37 | 37 | $0.00 | |
| 90696 | 16 | 16 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 12 | 12 | $0.00 |