NPI: 1477599918 · APPLE VALLEY, MN 55124 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,239 | $102K |
| 2019 | 10,671 | $352K |
| 2020 | 913 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,127 | 5,095 | $244K | |
| 99213 | 5,964 | 5,178 | $159K | |
| 99202 | 580 | 559 | $22K | |
| 87651 | 266 | 250 | $10K | |
| 90471 | 792 | 749 | $8K | |
| 36415 | 5,007 | 4,229 | $7K | |
| 85025 | 1,600 | 1,433 | $7K | |
| 87502 | 177 | 169 | $7K | |
| 80061 | 650 | 619 | $5K | |
| 99203 | 74 | 71 | $3K | |
| 80053 | 394 | 371 | $3K | |
| 80050 | 110 | 101 | $2K | |
| 90686 | 361 | 340 | $2K | |
| 84443 | 257 | 240 | $2K | |
| 99396 | 12 | 12 | $1K | |
| 80048 | 256 | 236 | $1K | |
| 87430 | 307 | 301 | $1K | |
| 90472 | 74 | 70 | $545.30 | |
| 83036 | 158 | 153 | $465.16 | |
| 87070 | 228 | 226 | $347.37 | |
| 81001 | 153 | 144 | $337.28 | |
| 81003 | 193 | 170 | $227.07 | |
| 85004 | 20 | 20 | $135.10 | |
| 82306 | 34 | 31 | $34.82 | |
| 90715 | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 16 | 15 | $0.00 |