NPI: 1235229162 · VIRGINIA, MN 55792 · 3336L0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 39 | $0.00 |
| 2019 | 48 | $0.00 |
| 2020 | 138 | $5K |
| 2021 | 240 | $9K |
| 2022 | 55 | $0.79 |
| 2023 | 43 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99607 | 79 | 79 | $6K | |
| 99605 | 88 | 88 | $4K | |
| 99606 | 114 | 94 | $3K | |
| 0012A | 28 | 28 | $448.03 | |
| 0011A | 25 | 25 | $156.84 | |
| 0013A | 17 | 17 | $40.72 | |
| 0124A | 26 | 26 | $0.79 | |
| 90682 | 21 | 21 | $0.00 | |
| 90756 | 12 | 12 | $0.00 | |
| 91322 | 14 | 14 | $0.00 | |
| 91301 | 27 | 26 | $0.00 | |
| 0064A | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 86 | 86 | $0.00 |
| 90480 | 14 | 14 | $0.00 |