NPI: 1427291947 · FORTY FORT, PA 18704 · 2080P0208X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 30 | $559.05 |
| 2020 | 2,683 | $70K |
| 2021 | 17,825 | $855K |
| 2022 | 16,473 | $530K |
| 2023 | 18,880 | $586K |
| 2024 | 19,541 | $586K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | 5,353 | 5,295 | $480K | |
| 99391 | 5,155 | 4,776 | $384K | |
| 99393 | 4,406 | 4,321 | $382K | |
| J2357 | Omalizumab injection | 265 | 181 | $295K |
| 99214 | 5,257 | 5,017 | $290K | |
| 99213 | 7,630 | 7,306 | $276K | |
| 99394 | 2,417 | 2,375 | $212K | |
| 90686 | 4,411 | 4,366 | $40K | |
| 99211 | 1,886 | 1,781 | $38K | |
| G2211 | Complex e/m visit add on | 2,581 | 2,470 | $25K |
| 90670 | 2,604 | 2,577 | $25K | |
| 90723 | 2,552 | 2,517 | $25K | |
| 90647 | 2,406 | 2,373 | $23K | |
| 90680 | 1,942 | 1,917 | $18K | |
| 97802 | 246 | 244 | $14K | |
| 90633 | 1,344 | 1,338 | $13K | |
| 97803 | 281 | 272 | $10K | |
| 90677 | 1,023 | 1,008 | $9K | |
| 90651 | 725 | 722 | $7K | |
| 99212 | 238 | 230 | $6K | |
| 90656 | 617 | 615 | $6K | |
| 96372 | 194 | 156 | $5K | |
| 90734 | 407 | 405 | $4K | |
| 0071A | 95 | 95 | $4K | |
| 92551 | 6,698 | 6,619 | $3K | |
| G0008 | Admin influenza virus vac | 232 | 229 | $3K |
| 0072A | 68 | 68 | $3K | |
| 95117 | 396 | 248 | $3K | |
| 90707 | 234 | 233 | $2K | |
| 90648 | 220 | 220 | $2K | |
| 90700 | 212 | 212 | $2K | |
| 90716 | 213 | 213 | $2K | |
| 90696 | 176 | 176 | $2K | |
| 90710 | 172 | 172 | $2K | |
| 87880 | 168 | 159 | $1K | |
| 90681 | 124 | 124 | $1K | |
| 90460 | 15 | 14 | $1K | |
| 99177 | 3,752 | 3,695 | $873.25 | |
| 90471 | 61 | 61 | $701.50 | |
| 90620 | 77 | 74 | $677.00 | |
| 96127 | 1,568 | 1,552 | $662.76 | |
| 99202 | 18 | 18 | $648.31 | |
| 99381 | 12 | 12 | $630.00 | |
| 83655 | 2,372 | 2,366 | $598.36 | |
| 0083A | 14 | 14 | $576.80 | |
| 0081A | 13 | 13 | $535.60 | |
| 0082A | 12 | 12 | $504.00 | |
| 99173 | 1,371 | 1,362 | $324.30 | |
| 90715 | 84 | 83 | $233.81 | |
| 80061 | 927 | 920 | $209.30 | |
| 90472 | 13 | 13 | $195.50 | |
| 90621 | 14 | 14 | $150.20 | |
| 96110 | 1,000 | 963 | $144.72 | |
| 90381 | 15 | 15 | $144.20 | |
| G0009 | Admin pneumococcal vaccine | 12 | 12 | $138.00 |
| 85018 | 230 | 230 | $74.20 | |
| 96160 | 904 | 891 | $45.04 |