NPI: 1164537908 · BUFFALO, MN 55313 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 144 | $0.00 |
| 2021 | 5,698 | $371K |
| 2022 | 7,983 | $559K |
| 2023 | 3,809 | $304K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 5,566 | 464 | $1.23M | |
| G0008 | Admin influenza virus vac | 14 | 13 | $30.08 |
| 82040 | 451 | 401 | $0.00 | |
| 83550 | 440 | 400 | $0.00 | |
| 85027 | 296 | 276 | $0.00 | |
| 85018 | 1,330 | 415 | $0.00 | |
| 80051 | 439 | 400 | $0.00 | |
| 87340 | 415 | 379 | $0.00 | |
| 82728 | 141 | 130 | $0.00 | |
| A4657 | Syringe w/wo needle | 4,377 | 267 | $0.00 |
| 83735 | 124 | 118 | $0.00 | |
| 84075 | 124 | 118 | $0.00 | |
| 86706 | 27 | 26 | $0.00 | |
| 0064A | 14 | 12 | $0.00 | |
| 84155 | 437 | 402 | $0.00 | |
| 85046 | 417 | 393 | $0.00 | |
| 83540 | 440 | 401 | $0.00 | |
| 84100 | 548 | 413 | $0.00 | |
| 82565 | 444 | 401 | $0.00 | |
| 84520 | 921 | 401 | $0.00 | |
| 82310 | 458 | 401 | $0.00 | |
| 83970 | 125 | 118 | $0.00 | |
| 82108 | 27 | 26 | $0.00 | |
| J1756 | Iron sucrose injection | 59 | 12 | $0.00 |