NPI: 1457387441 · VIRGINIA, MN 55792 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,419 | $113K |
| 2019 | 11,635 | $473K |
| 2020 | 9,449 | $378K |
| 2021 | 11,112 | $499K |
| 2022 | 9,542 | $463K |
| 2023 | 10,472 | $474K |
| 2024 | 8,205 | $417K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 28,312 | 25,196 | $1.46M | |
| 99213 | 17,326 | 15,038 | $593K | |
| 99309 | 3,053 | 2,490 | $151K | |
| 99203 | 1,059 | 1,035 | $56K | |
| 99310 | Prolong nursin fac eval 15m | 511 | 372 | $40K |
| S0302 | Completed epsdt | 942 | 920 | $35K |
| 90460 | 1,590 | 1,495 | $32K | |
| 99204 | 344 | 332 | $30K | |
| 92004 | 564 | 557 | $29K | |
| 99392 | 605 | 567 | $27K | |
| 99243 | 440 | 433 | $27K | |
| 92015 | 2,108 | 2,065 | $23K | |
| 99215 | Prolong outpt/office vis | 282 | 273 | $22K |
| 99391 | 534 | 485 | $22K | |
| 99232 | 538 | 180 | $21K | |
| 77067 | 714 | 707 | $17K | |
| 74177 | 295 | 288 | $16K | |
| 92014 | 295 | 291 | $16K | |
| 99350 | Prolong home eval add 15m | 122 | 86 | $15K |
| 92340 | 1,034 | 997 | $14K | |
| 90461 | 753 | 711 | $13K | |
| 99212 | 537 | 459 | $12K | |
| 93306 | 268 | 258 | $11K | |
| 77063 | 550 | 544 | $10K | |
| 99233 | Prolong inpt eval add15 m | 156 | 43 | $10K |
| V5266 | Battery for hearing device | 1,419 | 1,345 | $9K |
| 99393 | 151 | 145 | $7K | |
| X5622 | 467 | 426 | $6K | |
| 71046 | 996 | 967 | $6K | |
| 90961 | 54 | 49 | $6K | |
| 99308 | 142 | 88 | $6K | |
| 99336 | 62 | 52 | $5K | |
| 99223 | Prolong inpt eval add15 m | 38 | 37 | $5K |
| 99349 | 49 | 40 | $4K | |
| 93010 | 764 | 687 | $4K | |
| 99442 | 112 | 108 | $4K | |
| 99337 | 32 | 27 | $4K | |
| 99443 | 69 | 68 | $4K | |
| 99239 | 54 | 51 | $3K | |
| 99238 | 83 | 82 | $3K | |
| 90471 | 353 | 336 | $3K | |
| 96127 | 810 | 788 | $3K | |
| 71045 | 543 | 501 | $3K | |
| 99244 | 29 | 29 | $3K | |
| 92551 | 475 | 467 | $3K | |
| 99222 | 28 | 28 | $2K | |
| 76816 | 63 | 58 | $2K | |
| 11721 | 98 | 96 | $2K | |
| 20610 | 52 | 42 | $2K | |
| G0438 | Ppps, initial visit | 13 | 13 | $2K |
| 31575 | 30 | 29 | $2K | |
| 69210 | 53 | 53 | $1K | |
| 92341 | 67 | 63 | $1K | |
| 90834 | 15 | 12 | $1K | |
| 73630 | 162 | 140 | $867.50 | |
| 36415 | 354 | 299 | $818.22 | |
| 73562 | 108 | 90 | $644.00 | |
| V2020 | Vision svcs frames purchases | 42 | 41 | $615.00 |
| 70450 | 25 | 25 | $567.12 | |
| 99441 | 32 | 31 | $546.34 | |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $500.00 |
| 99202 | 15 | 15 | $495.06 | |
| 76705 | 25 | 25 | $453.39 | |
| 99406 | 44 | 40 | $411.65 | |
| 73030 | 75 | 63 | $409.30 | |
| 73610 | 71 | 68 | $406.33 | |
| 99188 | 41 | 40 | $380.84 | |
| 76830 | 12 | 12 | $327.08 | |
| 99173 | 257 | 253 | $294.98 | |
| G2211 | Complex e/m visit add on | 108 | 105 | $246.12 |
| 90670 | 309 | 299 | $238.03 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $224.37 |
| 90472 | 15 | 15 | $206.02 | |
| 94726 | 16 | 15 | $171.25 | |
| 94729 | 16 | 15 | $138.74 | |
| 94060 | 15 | 14 | $124.50 | |
| 90723 | 66 | 64 | $78.51 | |
| 90686 | 377 | 368 | $37.85 | |
| G1004 | Cdsm ndsc | 459 | 379 | $0.10 |
| 90647 | 37 | 37 | $0.00 | |
| 90633 | 38 | 29 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| 90685 | 24 | 24 | $0.00 |