NPI: 1477980837 · JEFFERSON CITY, MO 65101 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,926 | $115K |
| 2019 | 4,141 | $85K |
| 2020 | 6,198 | $191K |
| 2021 | 17,948 | $588K |
| 2022 | 30,213 | $1.25M |
| 2023 | 39,287 | $2.16M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 34,588 | 30,520 | $2.00M | |
| 99214 | 19,768 | 17,506 | $1.00M | |
| 99391 | 2,709 | 2,366 | $241K | |
| 90834 | 3,198 | 2,043 | $197K | |
| 87635 | 3,778 | 3,410 | $156K | |
| 90837 | 1,461 | 1,009 | $125K | |
| 99392 | 1,218 | 1,177 | $109K | |
| 87651 | 2,593 | 2,454 | $74K | |
| 87804 | 2,678 | 2,242 | $59K | |
| 99393 | 543 | 534 | $47K | |
| 99215 | Prolong outpt/office vis | 424 | 401 | $37K |
| 99308 | 1,869 | 1,513 | $33K | |
| 71045 | 7,314 | 6,171 | $32K | |
| 93010 | 5,630 | 4,782 | $27K | |
| 99203 | 363 | 348 | $26K | |
| 74177 | 465 | 440 | $26K | |
| 87880 | 1,691 | 1,594 | $22K | |
| 71046 | 2,592 | 2,420 | $16K | |
| 99204 | 118 | 112 | $14K | |
| 99212 | 365 | 326 | $12K | |
| 90686 | 1,420 | 1,312 | $10K | |
| 90723 | 457 | 449 | $10K | |
| 90791 | 127 | 116 | $9K | |
| 99394 | 95 | 92 | $8K | |
| 99205 | Prolong outpt/office vis | 67 | 63 | $8K |
| 90670 | 1,005 | 980 | $8K | |
| 70450 | 277 | 259 | $8K | |
| 64615 | 96 | 94 | $6K | |
| 99307 | 570 | 509 | $6K | |
| 90961 | 77 | 75 | $5K | |
| 76805 | 130 | 128 | $5K | |
| 73630 | 618 | 571 | $5K | |
| 59430 | 13 | 13 | $4K | |
| 73610 | 552 | 509 | $4K | |
| 90647 | 399 | 387 | $3K | |
| 73564 | 337 | 298 | $3K | |
| 95886 | 43 | 37 | $2K | |
| 70553 | 29 | 26 | $2K | |
| 73030 | 340 | 306 | $2K | |
| 77067 | 66 | 66 | $2K | |
| 99460 | 26 | 26 | $2K | |
| 73110 | 321 | 283 | $2K | |
| 92567 | 213 | 210 | $2K | |
| 73130 | 256 | 235 | $2K | |
| 59025 | 42 | 36 | $1K | |
| 90847 | 16 | 13 | $1K | |
| 0002A | 52 | 35 | $1K | |
| 99238 | 15 | 15 | $983.55 | |
| 99406 | 213 | 150 | $947.76 | |
| 0001A | 30 | 30 | $814.10 | |
| 97597 | 20 | 12 | $793.91 | |
| 85018 | 380 | 363 | $780.95 | |
| 90792 | 14 | 12 | $778.53 | |
| 11721 | 189 | 150 | $773.47 | |
| 76705 | 41 | 39 | $770.55 | |
| 20610 | 13 | 13 | $734.27 | |
| 96127 | 723 | 647 | $661.81 | |
| 74018 | 121 | 98 | $656.97 | |
| 90677 | 48 | 45 | $621.72 | |
| 87807 | 41 | 40 | $465.28 | |
| 73502 | 68 | 64 | $456.76 | |
| 90681 | 63 | 63 | $452.31 | |
| 76816 | 14 | 14 | $410.40 | |
| 99318 | 20 | 20 | $368.14 | |
| 76642 | 13 | 13 | $361.26 | |
| 77063 | 13 | 13 | $302.81 | |
| 73590 | 44 | 38 | $247.36 | |
| 72100 | 26 | 26 | $218.14 | |
| 90633 | 29 | 28 | $211.52 | |
| 73562 | 22 | 17 | $179.79 | |
| 94726 | 26 | 26 | $173.50 | |
| 81002 | 36 | 28 | $154.32 | |
| 94010 | 25 | 25 | $137.54 | |
| 94729 | 26 | 26 | $128.65 | |
| 90833 | 18 | 17 | $95.61 | |
| 73090 | 14 | 12 | $88.40 | |
| 92558 | 13 | 13 | $70.20 | |
| 36415 | 352 | 298 | $44.10 | |
| 96160 | 21 | 16 | $10.90 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |