NPI: 1124652557 · SAINT PAUL, MN 55106 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,185 | $129K |
| 2021 | 20,300 | $686K |
| 2022 | 17,069 | $647K |
| 2023 | 14,353 | $627K |
| 2024 | 11,449 | $537K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 14,183 | 12,902 | $1.21M | |
| 99213 | 9,101 | 8,441 | $565K | |
| S0302 | Completed epsdt | 3,213 | 3,107 | $175K |
| 90471 | 6,741 | 6,443 | $91K | |
| 36415 | 11,059 | 10,165 | $57K | |
| 99215 | Prolong outpt/office vis | 425 | 391 | $51K |
| U0003 | Cov-19 amp prb hgh thruput | 651 | 613 | $47K |
| 99232 | 948 | 393 | $43K | |
| 99238 | 982 | 904 | $43K | |
| 99392 | 462 | 459 | $38K | |
| 90472 | 1,877 | 1,810 | $36K | |
| 99391 | 338 | 331 | $25K | |
| 99393 | 280 | 274 | $22K | |
| X5622 | 186 | 156 | $16K | |
| U0005 | Infec agen detec ampli probe | 650 | 612 | $16K |
| 99223 | Prolong inpt eval add15 m | 130 | 121 | $15K |
| 90686 | 2,368 | 2,249 | $13K | |
| 83036 | 1,273 | 1,239 | $12K | |
| 80048 | 1,352 | 1,245 | $11K | |
| 92551 | 1,367 | 1,313 | $10K | |
| 99188 | 1,041 | 1,022 | $8K | |
| 0071A | 219 | 206 | $8K | |
| 91320 | 95 | 95 | $8K | |
| 90480 | 285 | 281 | $8K | |
| 0072A | 215 | 205 | $8K | |
| 99233 | Prolong inpt eval add15 m | 116 | 52 | $8K |
| 99394 | 80 | 78 | $7K | |
| 80061 | 499 | 489 | $7K | |
| 96127 | 1,537 | 1,475 | $6K | |
| 0064A | 136 | 135 | $5K | |
| T1013 | Sign lang/oral interpreter | 98 | 91 | $5K |
| 85027 | 651 | 599 | $4K | |
| 87389 | 153 | 152 | $4K | |
| 90677 | 14 | 14 | $3K | |
| 90662 | 57 | 56 | $3K | |
| 99460 | 60 | 58 | $3K | |
| 87591 | 74 | 73 | $3K | |
| 90656 | 382 | 381 | $3K | |
| 99173 | 1,538 | 1,486 | $3K | |
| 0001A | 75 | 74 | $2K | |
| 0004A | 60 | 60 | $2K | |
| 0002A | 62 | 61 | $2K | |
| 96110 | 313 | 259 | $2K | |
| 0011A | 81 | 80 | $2K | |
| 87491 | 50 | 49 | $2K | |
| 90715 | 99 | 99 | $2K | |
| 90670 | 369 | 366 | $2K | |
| 80053 | 170 | 148 | $2K | |
| 0012A | 61 | 58 | $2K | |
| 86803 | 77 | 76 | $1K | |
| 81025 | 122 | 118 | $1K | |
| 99203 | 12 | 12 | $1K | |
| 0054A | 25 | 25 | $902.21 | |
| 90682 | 30 | 25 | $896.48 | |
| 84443 | 59 | 57 | $878.88 | |
| 90673 | 12 | 12 | $841.64 | |
| 99222 | 12 | 12 | $800.24 | |
| G2211 | Complex e/m visit add on | 211 | 202 | $608.72 |
| 90473 | 29 | 29 | $551.72 | |
| 90651 | 62 | 60 | $503.74 | |
| 99000 | 46 | 41 | $485.94 | |
| 87804 | 13 | 12 | $419.64 | |
| 86780 | 30 | 30 | $410.99 | |
| 96161 | 267 | 264 | $384.13 | |
| 90474 | 42 | 42 | $376.18 | |
| G0008 | Admin influenza virus vac | 33 | 33 | $344.31 |
| 87210 | 56 | 52 | $338.22 | |
| 82043 | 55 | 55 | $316.36 | |
| U0002 | Covid-19 lab test non-cdc | 223 | 212 | $274.25 |
| 0031A | 16 | 15 | $239.44 | |
| 82728 | 13 | 12 | $144.00 | |
| 90734 | 88 | 84 | $126.04 | |
| 36416 | 39 | 39 | $116.72 | |
| 85018 | 47 | 47 | $116.55 | |
| 81001 | 25 | 25 | $83.28 | |
| 81003 | 40 | 40 | $35.20 | |
| 90633 | 110 | 107 | $0.00 | |
| 90710 | 13 | 13 | $0.00 | |
| 90698 | 222 | 221 | $0.00 | |
| 90744 | 64 | 64 | $0.00 | |
| 90680 | 74 | 74 | $0.00 | |
| 90696 | 13 | 13 | $0.00 |