NPI: 1518912484 · WEST BURLINGTON, IA 52655 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 38,108 | $1.46M |
| 2019 | 30,800 | $1.23M |
| 2020 | 27,995 | $1.14M |
| 2021 | 17,282 | $717K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | 11,104 | 10,466 | $784K | |
| 99285 | 7,647 | 7,146 | $783K | |
| 99283 | 15,708 | 15,225 | $779K | |
| 99213 | 23,909 | 22,136 | $696K | |
| 99214 | 15,162 | 13,845 | $502K | |
| 88305 | 2,516 | 2,371 | $150K | |
| 99233 | Prolong inpt eval add15 m | 1,630 | 530 | $85K |
| 93010 | 11,009 | 9,406 | $83K | |
| 90960 | 1,189 | 1,149 | $61K | |
| 76830 | 809 | 783 | $61K | |
| 99232 | 2,156 | 762 | $57K | |
| 99223 | Prolong inpt eval add15 m | 537 | 502 | $51K |
| 99282 | 1,977 | 1,925 | $48K | |
| 99203 | 754 | 727 | $47K | |
| 99239 | 507 | 480 | $30K | |
| 99204 | 317 | 308 | $26K | |
| 87502 | 310 | 300 | $25K | |
| 90833 | 797 | 740 | $23K | |
| 93306 | 480 | 458 | $21K | |
| 87651 | 530 | 519 | $21K | |
| 20610 | 337 | 299 | $19K | |
| 90834 | 287 | 147 | $19K | |
| 36415 | 6,413 | 5,985 | $17K | |
| 90792 | 115 | 109 | $11K | |
| 96127 | 713 | 683 | $10K | |
| 99212 | 493 | 463 | $10K | |
| 11042 | 474 | 308 | $9K | |
| 76805 | 69 | 67 | $7K | |
| 87635 | 161 | 155 | $7K | |
| 76816 | 127 | 120 | $7K | |
| 11721 | 682 | 660 | $7K | |
| 59025 | 217 | 186 | $6K | |
| 88312 | 211 | 197 | $5K | |
| 87880 | 296 | 283 | $4K | |
| 92004 | 74 | 69 | $4K | |
| 94060 | 317 | 313 | $4K | |
| 99291 | 40 | 38 | $4K | |
| 73562 | 158 | 145 | $4K | |
| G2012 | Brief check in by md/qhp | 375 | 344 | $3K |
| 92134 | 172 | 166 | $3K | |
| 99215 | Prolong outpt/office vis | 55 | 53 | $3K |
| 76856 | 41 | 37 | $3K | |
| 88304 | 232 | 220 | $3K | |
| 87804 | 102 | 94 | $3K | |
| J3301 | Triamcinolone acet inj nos | 352 | 314 | $3K |
| 90686 | 127 | 123 | $2K | |
| 99222 | 29 | 28 | $2K | |
| 90837 | 52 | 38 | $2K | |
| 88307 | 24 | 24 | $2K | |
| 99231 | 57 | 12 | $2K | |
| 94726 | 167 | 164 | $2K | |
| 99238 | 32 | 30 | $1K | |
| 99308 | 107 | 100 | $1K | |
| 43239 | 26 | 25 | $1K | |
| 94729 | 242 | 237 | $1K | |
| 99309 | 43 | 36 | $1K | |
| 93016 | 72 | 66 | $1K | |
| 90836 | 29 | 24 | $1K | |
| 99202 | 24 | 24 | $1K | |
| 92012 | 42 | 42 | $1K | |
| 99407 | 58 | 55 | $1K | |
| 90471 | 230 | 216 | $1K | |
| 90832 | 36 | 28 | $1K | |
| 90961 | 15 | 15 | $949.91 | |
| 90682 | 30 | 28 | $938.81 | |
| 93018 | 72 | 66 | $905.99 | |
| 99394 | 12 | 12 | $893.58 | |
| 97110 | 51 | 12 | $824.71 | |
| 99442 | 49 | 45 | $823.13 | |
| 99441 | 48 | 46 | $682.64 | |
| 73630 | 29 | 25 | $665.22 | |
| 12001 | 14 | 13 | $645.24 | |
| 81002 | 243 | 223 | $550.68 | |
| 93990 | 13 | 12 | $514.20 | |
| 99152 | 57 | 51 | $477.13 | |
| 92014 | 13 | 12 | $423.90 | |
| 80053 | 44 | 40 | $405.54 | |
| 73610 | 17 | 14 | $396.20 | |
| 73110 | 17 | 12 | $342.68 | |
| 80061 | 26 | 26 | $342.54 | |
| 11720 | 85 | 81 | $321.50 | |
| 51798 | 25 | 25 | $309.09 | |
| 87210 | 26 | 26 | $284.82 | |
| 51701 | 12 | 12 | $283.19 | |
| 11719 | 28 | 26 | $200.65 | |
| 92015 | 13 | 12 | $165.55 | |
| 81025 | 16 | 16 | $139.51 | |
| 96160 | 16 | 16 | $123.81 | |
| 90785 | 98 | 85 | $96.01 | |
| 99406 | 84 | 80 | $89.10 | |
| 85025 | 13 | 12 | $66.18 | |
| 81001 | 14 | 14 | $54.90 | |
| 96372 | 12 | 12 | $37.94 | |
| G0008 | Admin influenza virus vac | 21 | 20 | $0.00 |
| 90662 | 14 | 13 | $0.00 |