NPI: 1497779862 · HARRISBURG, PA 17104 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,038 | $1.59M |
| 2019 | 19,713 | $2.12M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 19,590 | 16,589 | $3.70M |
| 3077F | 167 | 167 | $880.00 | |
| 3079F | 190 | 184 | $780.00 | |
| 3078F | 164 | 157 | $670.00 | |
| 3075F | 127 | 124 | $460.00 | |
| 90460 | 1,147 | 1,137 | $380.13 | |
| 3074F | 125 | 124 | $380.00 | |
| 3080F | 82 | 82 | $360.00 | |
| 99213 | 2,874 | 2,711 | $80.00 | |
| 3044F | 13 | 13 | $40.00 | |
| 96110 | 26 | 26 | $0.00 | |
| 99214 | 126 | 123 | $0.00 | |
| 90723 | 162 | 162 | $0.00 | |
| 90686 | 246 | 246 | $0.00 | |
| 92551 | 355 | 355 | $0.00 | |
| 85018 | 69 | 69 | $0.00 | |
| 90680 | 28 | 28 | $0.00 | |
| 83036 | 176 | 175 | $0.00 | |
| 90647 | 79 | 79 | $0.00 | |
| 90471 | 49 | 49 | $0.00 | |
| 87661 | 30 | 30 | $0.00 | |
| 99383 | 14 | 14 | $0.00 | |
| 99212 | 2,005 | 1,838 | $0.00 | |
| 99393 | 41 | 41 | $0.00 | |
| 90461 | 605 | 605 | $0.00 | |
| 3725F | 42 | 42 | $0.00 | |
| 99173 | 370 | 355 | $0.00 | |
| 99391 | 97 | 97 | $0.00 | |
| 99215 | Prolong outpt/office vis | 147 | 144 | $0.00 |
| 90670 | 275 | 275 | $0.00 | |
| 81025 | 65 | 61 | $0.00 | |
| 99392 | 76 | 76 | $0.00 | |
| 90710 | 15 | 15 | $0.00 | |
| 83655 | 56 | 56 | $0.00 | |
| 99396 | 41 | 41 | $0.00 | |
| 90633 | 65 | 65 | $0.00 | |
| 99395 | 12 | 12 | $0.00 |