NPI: 1497191951 · GREEN BAY, WI 54301 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,438 | $187K |
| 2019 | 3,996 | $262K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76819 | 1,083 | 775 | $86K | |
| 76816 | 1,073 | 877 | $73K | |
| 76811 | 422 | 364 | $62K | |
| 76820 | 1,241 | 876 | $48K | |
| 76825 | 350 | 307 | $40K | |
| 76817 | 518 | 426 | $38K | |
| 99213 | 1,182 | 1,060 | $34K | |
| 93325 | 618 | 566 | $21K | |
| 76805 | 128 | 125 | $16K | |
| 76826 | 94 | 93 | $7K | |
| 76801 | 61 | 59 | $7K | |
| 76813 | 56 | 56 | $5K | |
| 99214 | 82 | 77 | $3K | |
| 76828 | 39 | 38 | $2K | |
| 76827 | 33 | 29 | $2K | |
| 99212 | 69 | 65 | $2K | |
| 76830 | 13 | 12 | $1K | |
| 99395 | 12 | 12 | $690.36 | |
| 99283 | 12 | 12 | $518.61 | |
| 96372 | 66 | 64 | $182.79 | |
| 85027 | 28 | 25 | $164.35 | |
| 81001 | 28 | 27 | $79.36 | |
| 36415 | 210 | 162 | $5.40 | |
| J7030 | Normal saline solution infus | 16 | 14 | $0.00 |