NPI: 1447734272 · MOORE, OK 73160 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 440 | $73K |
| 2022 | 2,523 | $271K |
| 2023 | 2,973 | $317K |
| 2024 | 564 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 2,762 | 2,751 | $514K | |
| 99284 | 596 | 591 | $168K | |
| 99285 | 81 | 80 | $32K | |
| 96374 | 120 | 120 | $19K | |
| 87428 | 247 | 246 | $8K | |
| 99282 | 24 | 24 | $3K | |
| 85025 | 381 | 380 | $2K | |
| 87880 | 131 | 130 | $2K | |
| 96375 | 26 | 26 | $1K | |
| 80051 | 201 | 200 | $1K | |
| 82550 | 202 | 201 | $1K | |
| 82565 | 201 | 200 | $859.95 | |
| 82947 | 215 | 213 | $710.50 | |
| 84520 | 201 | 200 | $663.39 | |
| 82977 | 103 | 102 | $608.00 | |
| 82150 | 103 | 102 | $547.20 | |
| 81003 | 253 | 253 | $465.89 | |
| 84460 | 100 | 99 | $438.03 | |
| 84075 | 100 | 99 | $428.73 | |
| 84450 | 100 | 99 | $428.73 | |
| 82247 | 100 | 99 | $415.71 | |
| 82040 | 100 | 99 | $409.20 | |
| 87400 | 13 | 13 | $326.82 | |
| 84155 | 100 | 99 | $303.18 | |
| 80053 | 14 | 14 | $127.46 | |
| 81025 | 14 | 14 | $99.58 | |
| J2405 | Ondansetron hcl injection | 12 | 12 | $3.96 |