NPI: 1174597892 · JEFFERSON CITY, MO 65101 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,064 | $4.86M |
| 2019 | 11,649 | $3.76M |
| 2020 | 9,314 | $1.27M |
| 2021 | 10,109 | $285K |
| 2022 | 15,219 | $792K |
| 2023 | 19,464 | $1.12M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X4011 | 9,612 | 8,891 | $2.04M | |
| D7999 | 530 | 529 | $2.01M | |
| Y7506 | 601 | 591 | $1.90M | |
| 85025 | 15,013 | 13,772 | $1.29M | |
| 99284 | 6,816 | 6,470 | $1.10M | |
| 99283 | 8,168 | 7,890 | $958K | |
| 80053 | 9,306 | 8,586 | $722K | |
| 99285 | 1,344 | 1,262 | $269K | |
| 87804 | 2,731 | 2,144 | $226K | |
| 81001 | 2,678 | 2,567 | $190K | |
| 96374 | 1,929 | 1,856 | $175K | |
| G0463 | Hospital outpt clinic visit | 4,223 | 4,002 | $163K |
| X4003 | 2,668 | 2,102 | $119K | |
| 93005 | 1,617 | 1,548 | $86K | |
| 84703 | 273 | 264 | $86K | |
| 71046 | 342 | 312 | $71K | |
| 87430 | 317 | 298 | $64K | |
| 71045 | 1,196 | 1,129 | $58K | |
| 87081 | 257 | 240 | $57K | |
| 81003 | 239 | 234 | $54K | |
| 87420 | 333 | 293 | $52K | |
| 87635 | 2,287 | 2,197 | $47K | |
| 80048 | 290 | 279 | $44K | |
| 99282 | 526 | 516 | $41K | |
| 83690 | 683 | 668 | $36K | |
| 69436 | 13 | 13 | $34K | |
| Y7507 | 69 | 67 | $30K | |
| 82150 | 91 | 89 | $30K | |
| 96361 | 823 | 782 | $19K | |
| 96375 | 544 | 510 | $16K | |
| 85610 | 329 | 306 | $15K | |
| 74177 | 74 | 73 | $10K | |
| 83880 | 67 | 63 | $7K | |
| G0378 | Hospital observation per hr | 14 | 13 | $6K |
| 43239 | 27 | 26 | $5K | |
| 88305 | 104 | 102 | $5K | |
| 93010 | 885 | 791 | $5K | |
| 59025 | 45 | 39 | $4K | |
| 83735 | 237 | 227 | $4K | |
| 96372 | 218 | 163 | $4K | |
| 94640 | 12 | 12 | $3K | |
| 85730 | 288 | 267 | $3K | |
| 96360 | 29 | 26 | $3K | |
| 36591 | 69 | 41 | $2K | |
| U0003 | Cov-19 amp prb hgh thruput | 353 | 344 | $2K |
| 73630 | 108 | 89 | $2K | |
| 84484 | 185 | 178 | $2K | |
| 41899 | 25 | 25 | $2K | |
| 87591 | 14 | 14 | $2K | |
| 87491 | 14 | 14 | $2K | |
| 70553 | 12 | 12 | $2K | |
| 96413 | 28 | 14 | $2K | |
| 87070 | 227 | 220 | $2K | |
| 88312 | 43 | 42 | $1K | |
| 85651 | 96 | 95 | $727.33 | |
| 73564 | 12 | 12 | $713.16 | |
| 84443 | 84 | 80 | $702.02 | |
| 80061 | 45 | 42 | $550.60 | |
| 83036 | 43 | 42 | $438.26 | |
| 81025 | 78 | 73 | $323.29 | |
| 0002A | 18 | 18 | $312.80 | |
| 0001A | 24 | 24 | $275.08 | |
| 83605 | 40 | 38 | $258.00 | |
| 0012A | 15 | 15 | $244.26 | |
| 87651 | 17 | 16 | $238.09 | |
| 82306 | 14 | 13 | $214.90 | |
| 86140 | 24 | 24 | $188.11 | |
| 88175 | 12 | 12 | $173.41 | |
| 11721 | 42 | 39 | $137.79 | |
| U0004 | Cov-19 test non-cdc hgh thru | 14 | 14 | $75.00 |
| 85652 | 12 | 12 | $16.34 | |
| U0005 | Infec agen detec ampli probe | 28 | 28 | $0.07 |
| 36415 | 964 | 757 | $0.00 | |
| J3490 | Drugs unclassified injection | 203 | 161 | $0.00 |
| G0008 | Admin influenza virus vac | 20 | 19 | $0.00 |
| 90471 | 21 | 21 | $0.00 | |
| 90688 | 12 | 12 | $0.00 | |
| 99212 | 1,055 | 1,024 | $0.00 |