NPI: 1346842051 · SAINT PAUL, MN 55102 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 7,016 | $404K |
| 2022 | 8,811 | $565K |
| 2023 | 7,495 | $549K |
| 2024 | 4,701 | $391K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 13,582 | 12,471 | $1.19M | |
| 99213 | 8,607 | 7,846 | $566K | |
| 90460 | 828 | 815 | $32K | |
| 99215 | Prolong outpt/office vis | 87 | 86 | $12K |
| 91322 | 129 | 104 | $11K | |
| 99391 | 155 | 155 | $11K | |
| 90471 | 693 | 675 | $10K | |
| X5622 | 47 | 43 | $10K | |
| 90686 | 907 | 880 | $9K | |
| S0302 | Completed epsdt | 1,166 | 1,144 | $8K |
| 99392 | 92 | 92 | $8K | |
| 99309 | 189 | 165 | $8K | |
| 90792 | 26 | 25 | $5K | |
| 0124A | 135 | 122 | $4K | |
| 0054A | 99 | 98 | $4K | |
| 99393 | 35 | 35 | $3K | |
| 90480 | 132 | 125 | $3K | |
| 92551 | 254 | 251 | $2K | |
| 99349 | 31 | 24 | $2K | |
| 99188 | 160 | 160 | $2K | |
| 90656 | 87 | 87 | $2K | |
| 90694 | 40 | 36 | $1K | |
| G0008 | Admin influenza virus vac | 101 | 90 | $1K |
| 99203 | 14 | 14 | $1K | |
| 99238 | 14 | 13 | $695.93 | |
| 90670 | 110 | 110 | $511.46 | |
| 90715 | 12 | 12 | $409.68 | |
| 99173 | 176 | 176 | $301.87 | |
| G2211 | Complex e/m visit add on | 47 | 45 | $261.26 |
| 90472 | 14 | 13 | $191.66 | |
| 90651 | 13 | 12 | $0.00 | |
| 90723 | 27 | 27 | $0.00 | |
| 90647 | 14 | 14 | $0.00 |