NPI: 1184757353 · CHICAGO, IL 60628 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18,948 | $1.03M |
| 2019 | 31,801 | $1.28M |
| 2020 | 29,953 | $1.56M |
| 2021 | 34,102 | $1.90M |
| 2022 | 43,233 | $2.57M |
| 2023 | 42,740 | $2.44M |
| 2024 | 39,643 | $2.61M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 86,449 | 62,730 | $12.14M |
| D0999 | 10,832 | 8,438 | $1.06M | |
| T1040 | Comm bh clinic svc per diem | 2,273 | 1,623 | $154K |
| 99213 | 30,157 | 25,127 | $10K | |
| D0120 | 3,537 | 3,278 | $6K | |
| D0274 | 2,369 | 2,225 | $3K | |
| D0220 | 3,478 | 3,077 | $3K | |
| 90832 | 3,010 | 1,922 | $3K | |
| 99212 | 17,226 | 14,219 | $3K | |
| D1120 | 2,246 | 2,124 | $3K | |
| D0140 | 1,751 | 1,545 | $2K | |
| 99214 | 4,710 | 4,264 | $1K | |
| D0272 | 479 | 443 | $1K | |
| 0502F | 2,964 | 1,759 | $1K | |
| D1110 | 411 | 341 | $938.11 | |
| 99393 | 3,385 | 3,093 | $922.08 | |
| 99392 | 3,419 | 3,079 | $844.44 | |
| D0150 | 317 | 286 | $837.84 | |
| D7140 | 1,084 | 756 | $797.49 | |
| D4341 | 83 | 38 | $732.00 | |
| 99203 | 1,437 | 1,317 | $721.68 | |
| D0230 | 2,403 | 2,092 | $632.86 | |
| 99391 | 1,767 | 1,567 | $513.57 | |
| D1206 | 2,397 | 2,268 | $444.19 | |
| 99394 | 2,294 | 2,155 | $318.16 | |
| 96110 | 646 | 467 | $192.84 | |
| 0500F | 105 | 86 | $176.40 | |
| 99202 | 301 | 274 | $99.20 | |
| 90834 | 4,510 | 2,848 | $94.40 | |
| 90670 | 1,824 | 1,670 | $91.02 | |
| 99173 | 2,083 | 1,870 | $89.40 | |
| D9996 | 41 | 35 | $75.00 | |
| 81025 | 8,635 | 7,702 | $50.02 | |
| 90633 | 1,376 | 1,294 | $42.31 | |
| 90716 | 156 | 145 | $35.91 | |
| 90710 | 767 | 685 | $33.11 | |
| 90698 | 608 | 558 | $32.00 | |
| 90658 | 115 | 113 | $21.41 | |
| 90707 | 163 | 150 | $19.20 | |
| 90648 | 392 | 359 | $16.71 | |
| 90734 | 901 | 828 | $12.80 | |
| 90680 | 572 | 523 | $12.80 | |
| 90696 | 271 | 242 | $12.80 | |
| J1050 | Medroxyprogesterone acetate | 745 | 576 | $11.90 |
| 81000 | 8,628 | 7,634 | $8.24 | |
| 90715 | 537 | 469 | $6.40 | |
| 90688 | 218 | 199 | $6.40 | |
| 90651 | 451 | 423 | $6.40 | |
| 90472 | 907 | 621 | $0.00 | |
| 90746 | 85 | 81 | $0.00 | |
| 99396 | 1,154 | 1,099 | $0.00 | |
| 90460 | 3,245 | 2,793 | $0.00 | |
| 99395 | 1,583 | 1,523 | $0.00 | |
| 87804 | 75 | 73 | $0.00 | |
| 90791 | 1,165 | 1,045 | $0.00 | |
| 99382 | 269 | 256 | $0.00 | |
| 90713 | 292 | 280 | $0.00 | |
| 80061 | 58 | 58 | $0.00 | |
| D2391 | 107 | 77 | $0.00 | |
| 90700 | 355 | 345 | $0.00 | |
| 90461 | 358 | 228 | $0.00 | |
| 90649 | 188 | 182 | $0.00 | |
| D0180 | 38 | 12 | $0.00 | |
| 99215 | Prolong outpt/office vis | 33 | 29 | $0.00 |
| 96372 | 932 | 914 | $0.00 | |
| 96127 | 421 | 381 | $0.00 | |
| 90792 | 60 | 55 | $0.00 | |
| 99385 | 838 | 813 | $0.00 | |
| 99386 | 294 | 285 | $0.00 | |
| 99383 | 851 | 830 | $0.00 | |
| D2392 | 180 | 123 | $0.00 | |
| 90686 | 232 | 217 | $0.00 | |
| 90647 | 116 | 111 | $0.00 | |
| 90723 | 402 | 372 | $0.00 | |
| 90471 | 465 | 392 | $0.00 | |
| 99384 | 518 | 502 | $0.00 | |
| 99381 | 59 | 56 | $0.00 | |
| 83036 | 211 | 211 | $0.00 | |
| 90697 | 130 | 130 | $0.00 | |
| G0008 | Admin influenza virus vac | 40 | 33 | $0.00 |
| 87430 | 51 | 50 | $0.00 | |
| 85025 | 173 | 170 | $0.00 | |
| 90620 | 12 | 12 | $0.00 |