NPI: 1154783074 · TULSA, OK 74137 · 314000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 374 | $0.00 |
| 2021 | 46,978 | $177K |
| 2022 | 45,029 | $310K |
| 2023 | 43,384 | $348K |
| 2024 | 64,037 | $396K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 80050 | 4,083 | 3,985 | $131K | |
| 85025 | 31,693 | 22,563 | $128K | |
| 80053 | 20,892 | 17,036 | $104K | |
| 87187 | 3,813 | 3,298 | $80K | |
| 80061 | 10,518 | 9,557 | $77K | |
| 83036 | 13,142 | 11,739 | $71K | |
| 87481 | 3,796 | 3,201 | $70K | |
| 87801 | 2,080 | 1,611 | $58K | |
| 87186 | 4,092 | 3,513 | $49K | |
| 82306 | 4,964 | 4,100 | $41K | |
| 80164 | 5,010 | 4,384 | $40K | |
| 84443 | 6,823 | 5,781 | $34K | |
| 87798 | 872 | 783 | $33K | |
| 80048 | 7,904 | 5,517 | $30K | |
| 80177 | 3,255 | 2,891 | $29K | |
| 83880 | 1,125 | 1,006 | $28K | |
| 84134 | 2,188 | 1,979 | $23K | |
| 87150 | 1,210 | 747 | $23K | |
| 87653 | 2,459 | 2,023 | $23K | |
| 87640 | 1,579 | 1,219 | $16K | |
| 82140 | 1,162 | 784 | $11K | |
| 90677 | 42 | 42 | $11K | |
| U0004 | Cov-19 test non-cdc hgh thru | 384 | 341 | $11K |
| 84439 | 1,532 | 1,435 | $10K | |
| 91322 | 63 | 63 | $9K | |
| 81001 | 5,699 | 4,803 | $9K | |
| 84153 | 755 | 710 | $8K | |
| 85610 | 2,565 | 877 | $8K | |
| 83735 | 2,545 | 2,089 | $7K | |
| 82607 | 1,560 | 1,322 | $7K | |
| 90480 | 132 | 132 | $5K | |
| 80178 | 808 | 686 | $4K | |
| 82977 | 894 | 788 | $3K | |
| 82728 | 427 | 410 | $3K | |
| 80185 | 422 | 337 | $3K | |
| 87086 | 391 | 296 | $3K | |
| 87502 | 98 | 82 | $3K | |
| 82150 | 761 | 678 | $3K | |
| 83540 | 644 | 589 | $2K | |
| 87529 | 90 | 81 | $2K | |
| 87070 | 250 | 227 | $2K | |
| 90674 | 50 | 50 | $2K | |
| 82248 | 553 | 507 | $2K | |
| 82746 | 332 | 287 | $1K | |
| 87635 | 34 | 34 | $1K | |
| 84100 | 1,009 | 783 | $1K | |
| 85652 | 627 | 433 | $1K | |
| 90682 | 20 | 20 | $1K | |
| 84466 | 138 | 130 | $1K | |
| 80076 | 298 | 247 | $1K | |
| 84436 | 282 | 262 | $990.97 | |
| 80175 | 84 | 82 | $781.38 | |
| 87088 | 222 | 186 | $714.51 | |
| 80156 | 80 | 71 | $502.06 | |
| 80159 | 41 | 37 | $460.03 | |
| G0008 | Admin influenza virus vac | 167 | 167 | $408.36 |
| 84550 | 152 | 141 | $381.97 | |
| 86141 | 75 | 65 | $348.38 | |
| G2023 | Specimen collect covid-19 | 241 | 201 | $232.01 |
| 85379 | 38 | 35 | $188.39 | |
| 84152 | 28 | 16 | $150.70 | |
| 82550 | 58 | 42 | $147.78 | |
| 84479 | 88 | 78 | $112.53 | |
| 83550 | 27 | 26 | $101.01 | |
| 84132 | 35 | 25 | $95.71 | |
| G0009 | Admin pneumococcal vaccine | 35 | 35 | $86.10 |
| 84481 | 16 | 15 | $77.22 | |
| 83690 | 46 | 41 | $65.10 | |
| 80162 | 12 | 12 | $59.05 | |
| P9604 | One-way allow prorated trip | 17,251 | 11,834 | $22.44 |
| G0471 | Ven blood coll snf/hha | 20,419 | 13,870 | $11.03 |
| 80069 | 20 | 16 | $7.30 | |
| 87634 | 19 | 16 | $0.00 | |
| P9603 | One-way allow prorated miles | 4,583 | 3,570 | $0.00 |