NPI: 1376545384 · HAYS, KS 67601 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 127 | $1K |
| 2019 | 409 | $2K |
| 2020 | 354 | $2K |
| 2021 | 345 | $4K |
| 2022 | 148 | $1K |
| 2023 | 155 | $779.53 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 510 | 446 | $7K | |
| 0002A | 54 | 53 | $1K | |
| 0001A | 19 | 17 | $640.00 | |
| 90472 | 13 | 12 | $486.24 | |
| 90473 | 24 | 22 | $384.94 | |
| 99212 | 45 | 26 | $364.86 | |
| 0064A | 67 | 66 | $320.00 | |
| 83655 | 48 | 42 | $252.00 | |
| 90688 | 89 | 82 | $176.88 | |
| 90686 | 134 | 132 | $77.22 | |
| 85018 | 42 | 41 | $49.78 | |
| 0134A | 12 | 12 | $40.00 | |
| 90672 | 24 | 22 | $0.00 | |
| 90658 | 89 | 84 | $0.00 | |
| 90662 | 66 | 66 | $0.00 | |
| 0003A | 20 | 20 | $0.00 | |
| 90734 | 27 | 27 | $0.00 | |
| 90619 | 44 | 35 | $0.00 | |
| G0008 | Admin influenza virus vac | 211 | 209 | $0.00 |