NPI: 1376520270 · FARMINGTON, CT 06030 · 207RH0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,688 | $982K |
| 2019 | 4,697 | $387K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,426 | 5,992 | $1.19M |
| 99395 | 222 | 222 | $37K | |
| 99396 | 297 | 295 | $23K | |
| 90471 | 875 | 861 | $17K | |
| 90746 | 261 | 261 | $17K | |
| 80305 | 1,513 | 716 | $13K | |
| 99385 | 74 | 74 | $12K | |
| 97803 | 554 | 525 | $12K | |
| 96372 | 526 | 502 | $11K | |
| S0302 | Completed epsdt | 733 | 732 | $7K |
| 90715 | 158 | 158 | $5K | |
| 90686 | 311 | 310 | $4K | |
| 97802 | 158 | 158 | $4K | |
| 90460 | 126 | 126 | $4K | |
| 87880 | 203 | 199 | $2K | |
| 81025 | 361 | 352 | $2K | |
| 86580 | 340 | 325 | $2K | |
| 81002 | 635 | 624 | $2K | |
| 82947 | 378 | 309 | $2K | |
| 90670 | 13 | 13 | $1K | |
| 90472 | 67 | 67 | $774.07 | |
| 87804 | 66 | 66 | $770.75 | |
| 90651 | 14 | 14 | $675.00 | |
| 83036 | 46 | 46 | $450.45 | |
| 97804 | 28 | 27 | $334.60 |