NPI: 1255302170 · OMAHA, NE 68111 · 101Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29,599 | $1.85M |
| 2019 | 35,143 | $1.97M |
| 2020 | 17,626 | $1.29M |
| 2021 | 35,065 | $2.37M |
| 2022 | 40,695 | $2.37M |
| 2023 | 44,720 | $2.37M |
| 2024 | 23,270 | $1.96M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 31,320 | 17,056 | $4.49M |
| 99214 | 16,893 | 15,812 | $3.11M | |
| 99213 | 16,504 | 14,353 | $3.06M | |
| 90837 | 2,737 | 1,662 | $320K | |
| 90832 | 2,214 | 1,249 | $254K | |
| 99212 | 1,187 | 1,118 | $223K | |
| 99215 | Prolong outpt/office vis | 1,227 | 1,162 | $222K |
| 99392 | 1,612 | 1,569 | $197K | |
| 99203 | 1,022 | 988 | $193K | |
| D1206 | 13,243 | 10,220 | $140K | |
| D2930 | 1,418 | 492 | $119K | |
| D1120 | 6,869 | 6,832 | $106K | |
| 99391 | 1,008 | 878 | $101K | |
| D7140 | 3,860 | 1,558 | $96K | |
| D1351 | 4,723 | 1,591 | $89K | |
| 90686 | 7,632 | 7,427 | $88K | |
| 90834 | 554 | 340 | $87K | |
| 99204 | 451 | 435 | $82K | |
| D0210 | 1,722 | 1,702 | $76K | |
| D0120 | 5,901 | 5,881 | $75K | |
| 36415 | 4,586 | 4,229 | $73K | |
| D1999 | 7,689 | 6,939 | $70K | |
| H0046 | Mental health service, nos | 1,466 | 1,013 | $64K |
| D0150 | 4,059 | 4,035 | $59K | |
| G0467 | Fqhc visit, estab pt | 1,883 | 1,564 | $58K |
| 99393 | 345 | 329 | $47K | |
| 92552 | 2,514 | 2,439 | $47K | |
| D2391 | 1,168 | 831 | $42K | |
| D1110 | 1,382 | 1,381 | $33K | |
| 0011A | 576 | 568 | $33K | |
| 36416 | 2,375 | 2,137 | $32K | |
| D0272 | 3,454 | 3,447 | $30K | |
| J3490 | Drugs unclassified injection | 346 | 334 | $26K |
| 0002A | 690 | 685 | $26K | |
| D2392 | 539 | 409 | $25K | |
| 0012A | 533 | 531 | $23K | |
| 0001A | 622 | 609 | $22K | |
| 83655 | 2,103 | 1,866 | $22K | |
| D0145 | 789 | 785 | $21K | |
| D0274 | 3,624 | 3,615 | $20K | |
| 85018 | 8,737 | 7,907 | $19K | |
| D0240 | 1,779 | 1,588 | $18K | |
| D0999 | 1,141 | 937 | $14K | |
| 83036 | 1,739 | 1,650 | $13K | |
| D0140 | 1,319 | 1,311 | $12K | |
| 90670 | 1,011 | 985 | $11K | |
| 90853 | 1,246 | 525 | $10K | |
| 90791 | 60 | 52 | $10K | |
| 91320 | 152 | 145 | $9K | |
| 99394 | 64 | 63 | $9K | |
| 90471 | 1,602 | 1,559 | $8K | |
| 90648 | 789 | 767 | $8K | |
| 99173 | 2,583 | 2,501 | $8K | |
| 94010 | 177 | 177 | $8K | |
| 90651 | 687 | 667 | $8K | |
| 0072A | 199 | 197 | $7K | |
| D0330 | 2,417 | 2,406 | $7K | |
| 0071A | 176 | 175 | $6K | |
| D9230 | 714 | 683 | $6K | |
| D9420 | 86 | 67 | $6K | |
| 0064A | 169 | 167 | $6K | |
| D0220 | 5,478 | 5,443 | $6K | |
| 97803 | 46 | 40 | $6K | |
| 90723 | 540 | 523 | $5K | |
| 90750 | 52 | 52 | $5K | |
| D0230 | 12,380 | 3,933 | $4K | |
| 90633 | 382 | 368 | $4K | |
| 0004A | 91 | 88 | $3K | |
| 3008F | 7,097 | 6,670 | $3K | |
| 80061 | 263 | 251 | $3K | |
| 81025 | 353 | 339 | $3K | |
| 90480 | 231 | 217 | $3K | |
| 90685 | 252 | 247 | $3K | |
| 0124A | 93 | 87 | $3K | |
| 90472 | 272 | 265 | $2K | |
| 97802 | 12 | 12 | $2K | |
| 87210 | 388 | 365 | $2K | |
| 90734 | 182 | 172 | $2K | |
| 96372 | 132 | 116 | $2K | |
| 82962 | 663 | 629 | $2K | |
| 81002 | 504 | 468 | $2K | |
| 0111A | 43 | 43 | $2K | |
| 90715 | 118 | 113 | $2K | |
| 0054A | 46 | 42 | $1K | |
| 87880 | 98 | 87 | $1K | |
| 90681 | 107 | 105 | $1K | |
| 90688 | 77 | 76 | $813.90 | |
| 3074F | 600 | 566 | $651.52 | |
| D4355 | 18 | 18 | $644.00 | |
| 90619 | 56 | 56 | $591.84 | |
| 0112A | 15 | 15 | $554.10 | |
| 90620 | 49 | 44 | $480.48 | |
| 3075F | 220 | 216 | $460.01 | |
| 98968 | 14 | 13 | $453.88 | |
| 90710 | 40 | 40 | $427.16 | |
| 0154A | 12 | 12 | $424.71 | |
| 0073A | 14 | 13 | $406.34 | |
| D4341 | 38 | 24 | $337.77 | |
| 91319 | 30 | 30 | $335.61 | |
| 90677 | 28 | 28 | $294.84 | |
| 3079F | 522 | 499 | $212.27 | |
| 3077F | 224 | 206 | $211.70 | |
| G0008 | Admin influenza virus vac | 15 | 13 | $206.97 |
| 90744 | 17 | 17 | $185.64 | |
| 90713 | 17 | 17 | $185.64 | |
| 90697 | 12 | 12 | $131.76 | |
| 90656 | 12 | 12 | $131.04 | |
| 86580 | 14 | 14 | $103.61 | |
| D0270 | 55 | 55 | $30.39 | |
| 3078F | 507 | 488 | $0.90 | |
| 91305 | 168 | 160 | $0.00 | |
| 91301 | 1,107 | 1,068 | $0.00 | |
| 91307 | 509 | 471 | $0.00 | |
| D9995 | 122 | 122 | $0.00 | |
| D0170 | 30 | 30 | $0.00 | |
| 3080F | 46 | 45 | $0.00 | |
| 3044F | 29 | 29 | $0.00 | |
| 91306 | 170 | 168 | $0.00 | |
| 91315 | 12 | 12 | $0.00 | |
| D1330 | 20 | 20 | $0.00 | |
| 91300 | 1,402 | 1,234 | $0.00 | |
| 90460 | 222 | 218 | $0.00 | |
| 91311 | 64 | 64 | $0.00 | |
| 91312 | 87 | 83 | $0.00 | |
| 90461 | 14 | 14 | $0.00 |