NPI: 1457304446 · DES MOINES, IA 50312 · 171M00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,206 | $27K |
| 2019 | 5,624 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99349 | 1,647 | 1,357 | $33K | |
| 99350 | Prolong home eval add 15m | 259 | 201 | $6K |
| 99348 | 93 | 81 | $2K | |
| 90834 | 62 | 46 | $1K | |
| 99336 | 171 | 141 | $487.54 | |
| G0008 | Admin influenza virus vac | 88 | 81 | $391.34 |
| 90662 | 72 | 66 | $279.49 | |
| 1121F | 508 | 296 | $0.00 | |
| 1170F | 678 | 441 | $0.00 | |
| 0526F | 562 | 376 | $0.00 | |
| 0525F | 137 | 112 | $0.00 | |
| 1126F | 784 | 504 | $0.00 | |
| 1111F | 493 | 330 | $0.00 | |
| 3008F | 219 | 153 | $0.00 | |
| 1125F | 273 | 172 | $0.00 | |
| 1157F | 68 | 53 | $0.00 | |
| 0001F | 32 | 27 | $0.00 | |
| 3074F | 21 | 17 | $0.00 | |
| 1158F | 140 | 124 | $0.00 | |
| 1159F | 1,290 | 867 | $0.00 | |
| 1119F | 111 | 103 | $0.00 | |
| 1160F | 992 | 673 | $0.00 | |
| 0521F | 130 | 88 | $0.00 |