NPI: 1174523948 · DONIPHAN, MO 63935 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,277 | $518K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X4011 | 805 | 704 | $119K | |
| 99282 | 650 | 577 | $83K | |
| 99283 | 571 | 408 | $55K | |
| 87804 | 755 | 297 | $49K | |
| 85025 | 856 | 799 | $41K | |
| Y7506 | 261 | 238 | $39K | |
| 87880 | 743 | 624 | $31K | |
| 80053 | 650 | 612 | $29K | |
| 81001 | 173 | 155 | $17K | |
| 99284 | 123 | 86 | $13K | |
| 93005 | 46 | 44 | $5K | |
| 74176 | 27 | 25 | $5K | |
| 84443 | 200 | 195 | $4K | |
| 36415 | 130 | 123 | $4K | |
| 94640 | 18 | 17 | $3K | |
| 80305 | 16 | 15 | $3K | |
| 99285 | 20 | 12 | $3K | |
| 86141 | 155 | 148 | $2K | |
| 71045 | 34 | 30 | $2K | |
| 83735 | 183 | 176 | $2K | |
| 87807 | 73 | 55 | $2K | |
| 84436 | 68 | 66 | $2K | |
| 84484 | 26 | 25 | $2K | |
| 80061 | 66 | 64 | $1K | |
| 71046 | 47 | 46 | $924.71 | |
| 83655 | 38 | 38 | $807.46 | |
| 80050 | 13 | 12 | $465.41 | |
| 84100 | 26 | 26 | $379.00 | |
| 83880 | 28 | 26 | $329.20 | |
| 83036 | 56 | 54 | $236.75 | |
| 81002 | 20 | 20 | $27.56 | |
| J3490 | Drugs unclassified injection | 386 | 301 | $0.00 |
| 96372 | 14 | 13 | $0.00 |