NPI: 1336623198 · OKLAHOMA CITY, OK 73128 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,014 | $132K |
| 2020 | 1,633 | $260K |
| 2021 | 6,037 | $855K |
| 2022 | 19,706 | $2.10M |
| 2023 | 19,031 | $2.02M |
| 2024 | 4,800 | $772K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 18,724 | 18,622 | $3.47M | |
| 99284 | 5,491 | 5,459 | $1.58M | |
| 99285 | 1,076 | 1,068 | $439K | |
| 96374 | 992 | 982 | $156K | |
| 99282 | 1,128 | 1,124 | $125K | |
| 87428 | 3,173 | 3,164 | $118K | |
| U0003 | Cov-19 amp prb hgh thruput | 522 | 520 | $37K |
| 96375 | 528 | 522 | $29K | |
| 96372 | 446 | 418 | $28K | |
| 87880 | 1,581 | 1,579 | $23K | |
| 85025 | 2,125 | 2,105 | $14K | |
| 81003 | 3,456 | 3,437 | $14K | |
| 96365 | 78 | 78 | $12K | |
| 81025 | 1,376 | 1,370 | $10K | |
| 71045 | 665 | 661 | $9K | |
| 80051 | 1,245 | 1,238 | $7K | |
| 82550 | 1,268 | 1,261 | $7K | |
| 87804 | 397 | 199 | $6K | |
| 82565 | 1,245 | 1,238 | $6K | |
| 82947 | 1,427 | 1,405 | $5K | |
| 87426 | 110 | 110 | $5K | |
| 84520 | 1,240 | 1,233 | $4K | |
| 82977 | 322 | 321 | $2K | |
| 87400 | 79 | 79 | $2K | |
| 87420 | 156 | 156 | $2K | |
| 82150 | 325 | 324 | $2K | |
| 84460 | 324 | 323 | $1K | |
| 84450 | 324 | 323 | $1K | |
| 84075 | 324 | 323 | $1K | |
| 96361 | 38 | 38 | $1K | |
| 82247 | 325 | 324 | $1K | |
| 82040 | 326 | 325 | $1K | |
| 87086 | 200 | 199 | $1K | |
| 93005 | 230 | 228 | $1K | |
| 84155 | 326 | 325 | $1K | |
| 99281 | 19 | 19 | $1K | |
| 80053 | 111 | 109 | $984.73 | |
| 80305 | 75 | 74 | $816.75 | |
| 87088 | 105 | 104 | $784.80 | |
| 71046 | 38 | 38 | $674.07 | |
| 87635 | 12 | 12 | $584.88 | |
| 84484 | 42 | 39 | $487.96 | |
| 80048 | 26 | 26 | $188.25 | |
| J0131 | Inj, acetaminophen (nos) | 20 | 20 | $176.22 |
| 94640 | 15 | 15 | $140.85 | |
| J2405 | Ondansetron hcl injection | 141 | 140 | $45.28 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 12 | 12 | $0.00 |
| J1100 | Dexamethasone sodium phos | 13 | 13 | $0.00 |