NPI: 1528642642 · OKLAHOMA CITY, OK 73104 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 170,957 | $17.43M |
| 2022 | 343,604 | $32.31M |
| 2023 | 375,508 | $37.48M |
| 2024 | 326,391 | $31.36M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 117,820 | 116,023 | $16.51M | |
| 99213 | 110,116 | 107,837 | $12.02M | |
| 99232 | 56,022 | 23,821 | $6.10M | |
| 99472 | 7,967 | 1,611 | $5.25M | |
| 99284 | 26,882 | 26,766 | $5.02M | |
| 99204 | 23,573 | 23,566 | $4.86M | |
| 99233 | Prolong inpt eval add15 m | 22,953 | 9,740 | $3.64M |
| 99469 | 5,212 | 1,391 | $3.36M | |
| 99215 | Prolong outpt/office vis | 18,100 | 17,188 | $3.31M |
| 99291 | 9,998 | 3,925 | $2.97M | |
| 99283 | 26,106 | 25,992 | $2.82M | |
| 99203 | 19,206 | 19,205 | $2.46M | |
| 76811 | 7,383 | 7,375 | $2.00M | |
| 76816 | 11,472 | 10,844 | $1.96M | |
| 99238 | 14,785 | 14,680 | $1.80M | |
| 93303 | 13,269 | 12,536 | $1.71M | |
| 74177 | 12,536 | 12,423 | $1.59M | |
| 71045 | 117,034 | 65,664 | $1.57M | |
| 01967 | 3,078 | 3,077 | $1.47M | |
| 93306 | 12,318 | 12,253 | $1.45M | |
| 99222 | 7,271 | 7,105 | $1.45M | |
| 76819 | 10,581 | 8,896 | $1.40M | |
| 99282 | 19,729 | 19,662 | $1.33M | |
| 99223 | Prolong inpt eval add15 m | 4,867 | 4,770 | $1.24M |
| 99479 | 5,781 | 1,390 | $1.18M | |
| 99480 | 6,015 | 1,524 | $1.18M | |
| 59409 | 872 | 871 | $1.10M | |
| 99392 | 7,797 | 7,791 | $1.08M | |
| 76805 | 4,671 | 4,670 | $1.01M | |
| 99391 | 7,502 | 7,409 | $1.01M | |
| 01922 | 3,973 | 3,811 | $999K | |
| 76801 | 5,297 | 5,295 | $994K | |
| 70553 | 5,951 | 5,892 | $973K | |
| 70450 | 15,807 | 14,983 | $947K | |
| 99460 | 4,674 | 4,579 | $735K | |
| 99393 | 4,951 | 4,950 | $688K | |
| 88305 | 11,554 | 11,283 | $666K | |
| 77067 | 3,229 | 3,222 | $572K | |
| 71260 | 6,820 | 6,769 | $533K | |
| 76705 | 11,512 | 11,248 | $517K | |
| 93320 | 14,247 | 12,984 | $491K | |
| 76770 | 8,508 | 8,432 | $473K | |
| 99285 | 1,465 | 1,461 | $431K | |
| 93010 | 34,286 | 27,646 | $422K | |
| 74018 | 27,899 | 20,241 | $390K | |
| 90471 | 21,508 | 21,440 | $385K | |
| H0004 | Alcohol and/or drug services | 6,242 | 3,409 | $382K |
| 90833 | 3,462 | 3,339 | $374K | |
| 71046 | 21,263 | 20,686 | $363K | |
| 88307 | 4,535 | 4,475 | $351K | |
| 99205 | Prolong outpt/office vis | 1,337 | 1,337 | $350K |
| 42820 | 758 | 757 | $341K | |
| 72125 | 4,461 | 4,435 | $317K | |
| 99394 | 1,960 | 1,959 | $315K | |
| 69436 | 1,267 | 1,266 | $313K | |
| 70551 | 2,835 | 2,820 | $305K | |
| 90472 | 9,741 | 9,665 | $297K | |
| 99239 | 1,754 | 1,726 | $294K | |
| 99212 | 3,785 | 3,745 | $275K | |
| 95810 | 1,353 | 1,353 | $259K | |
| 95819 | 814 | 813 | $255K | |
| 93304 | 2,879 | 2,607 | $228K | |
| 78815 | 1,509 | 1,507 | $223K | |
| 77063 | 2,711 | 2,706 | $210K | |
| 76506 | 3,969 | 3,133 | $205K | |
| 93325 | 23,141 | 20,826 | $197K | |
| 92579 | 4,756 | 4,735 | $190K | |
| 92551 | 10,729 | 10,718 | $180K | |
| 74176 | 1,658 | 1,648 | $178K | |
| 01961 | 391 | 388 | $175K | |
| 99462 | 2,469 | 1,916 | $172K | |
| 76642 | 1,348 | 1,329 | $170K | |
| 95782 | 825 | 824 | $169K | |
| 93000 | 7,490 | 7,228 | $163K | |
| 59514 | 109 | 109 | $156K | |
| 99468 | 103 | 103 | $156K | |
| 97803 | 3,278 | 3,197 | $154K | |
| 99231 | 2,129 | 1,159 | $154K | |
| 95720 | 479 | 247 | $153K | |
| 90791 | 1,114 | 1,111 | $146K | |
| 00170 | 542 | 542 | $144K | |
| 95816 | 1,076 | 1,071 | $144K | |
| 77066 | Tomosynthesis, mammo | 666 | 665 | $143K |
| 93970 | 2,996 | 2,722 | $142K | |
| 92567 | 9,970 | 9,903 | $138K | |
| 74019 | 6,837 | 6,586 | $127K | |
| 72170 | 9,262 | 9,147 | $126K | |
| 71275 | 982 | 965 | $121K | |
| 72132 | 1,328 | 1,326 | $121K | |
| 92557 | 3,654 | 3,618 | $111K | |
| 00731 | 816 | 800 | $110K | |
| 77427 | 427 | 280 | $109K | |
| 99221 | 782 | 780 | $109K | |
| 90837 | 984 | 665 | $104K | |
| 43239 | 563 | 561 | $98K | |
| 88342 | 3,086 | 3,034 | $97K | |
| 72129 | 1,066 | 1,065 | $97K | |
| 70498 | 784 | 771 | $93K | |
| 70486 | 1,353 | 1,348 | $86K | |
| 99471 | 65 | 64 | $85K | |
| 97802 | 1,261 | 1,255 | $84K | |
| 93321 | 6,027 | 5,608 | $83K | |
| 90961 | 783 | 783 | $81K | |
| 76817 | 566 | 562 | $80K | |
| G0279 | Tomosynthesis, mammo | 1,076 | 1,075 | $77K |
| 72082 | 3,060 | 3,048 | $76K | |
| 73590 | 5,253 | 4,373 | $71K | |
| 96040 | 1,624 | 1,615 | $68K | |
| 71250 | 1,064 | 1,049 | $67K | |
| 96110 | 4,546 | 3,976 | $66K | |
| 99217 | 549 | 549 | $64K | |
| 42830 | 202 | 202 | $64K | |
| 99476 | 110 | 24 | $63K | |
| 99202 | 669 | 669 | $61K | |
| 76885 | 1,005 | 1,001 | $60K | |
| 93971 | 1,993 | 1,921 | $60K | |
| 77014 | 858 | 249 | $59K | |
| 74240 | 920 | 912 | $58K | |
| 93308 | 1,554 | 1,480 | $55K | |
| 99219 | 245 | 245 | $53K | |
| 74230 | 1,249 | 1,234 | $53K | |
| 00920 | 216 | 216 | $52K | |
| 54150 | 300 | 296 | $52K | |
| 31231 | 257 | 256 | $52K | |
| 73630 | 3,684 | 3,150 | $51K | |
| 73610 | 3,440 | 3,169 | $48K | |
| 76830 | 831 | 829 | $48K | |
| 99385 | 409 | 409 | $47K | |
| 99281 | 1,251 | 1,250 | $46K | |
| 90935 | 795 | 321 | $45K | |
| 54161 | 193 | 193 | $44K | |
| 54360 | 38 | 38 | $44K | |
| 85060 | 2,193 | 2,064 | $43K | |
| 90792 | 151 | 148 | $41K | |
| 96127 | 6,422 | 6,374 | $40K | |
| 99442 | 446 | 444 | $40K | |
| 90716 | 535 | 534 | $39K | |
| 73562 | 2,491 | 2,080 | $38K | |
| 77065 | Tomosynthesis, mammo | 231 | 228 | $37K |
| 73090 | 2,728 | 2,384 | $36K | |
| 70496 | 311 | 308 | $36K | |
| G6002 | Stereoscopic x-ray guidance | 1,158 | 237 | $35K |
| 76700 | 536 | 531 | $35K | |
| 44970 | 34 | 34 | $34K | |
| 99152 | 2,023 | 1,966 | $34K | |
| 99381 | 213 | 213 | $34K | |
| 76536 | 713 | 706 | $32K | |
| 73130 | 2,228 | 1,954 | $32K | |
| 99477 | 57 | 54 | $32K | |
| 73560 | 2,366 | 1,955 | $31K | |
| 95251 | 1,030 | 1,028 | $31K | |
| 73700 | 425 | 384 | $30K | |
| 73070 | 2,147 | 1,922 | $30K | |
| 72148 | 271 | 271 | $30K | |
| 99188 | 1,575 | 1,574 | $28K | |
| 51741 | 2,286 | 2,239 | $28K | |
| 90746 | 424 | 421 | $28K | |
| 88341 | 382 | 374 | $28K | |
| 73551 | 2,053 | 1,583 | $28K | |
| 73030 | 1,846 | 1,689 | $27K | |
| 99157 | 98 | 90 | $25K | |
| 54300 | 24 | 24 | $24K | |
| 99173 | 5,420 | 5,419 | $24K | |
| 88112 | 1,118 | 1,074 | $23K | |
| 90707 | 373 | 372 | $22K | |
| 90715 | 857 | 857 | $22K | |
| 87880 | 1,457 | 1,446 | $21K | |
| 51798 | 2,395 | 2,341 | $21K | |
| 93975 | 233 | 222 | $21K | |
| 59430 | 97 | 97 | $21K | |
| 91320 | 160 | 160 | $20K | |
| 25600 | 70 | 70 | $20K | |
| 73552 | 1,441 | 1,301 | $20K | |
| 90962 | 261 | 261 | $19K | |
| 72141 | 170 | 170 | $18K | |
| 77080 | 308 | 308 | $18K | |
| 90960 | 123 | 123 | $18K | |
| 00790 | 44 | 41 | $17K | |
| 73100 | 1,211 | 1,113 | $17K | |
| 77334 | 79 | 54 | $17K | |
| 77072 | 1,077 | 1,075 | $16K | |
| 70491 | 168 | 167 | $16K | |
| 51728 | 57 | 57 | $16K | |
| 88304 | 1,584 | 1,580 | $16K | |
| 99211 | 609 | 584 | $16K | |
| 94060 | 1,116 | 1,067 | $15K | |
| 93317 | 99 | 56 | $15K | |
| 76820 | 206 | 167 | $15K | |
| 99475 | 15 | 15 | $14K | |
| 90686 | 6,707 | 6,703 | $14K | |
| 99153 | Mod sedat endo service >5yrs | 389 | 379 | $14K |
| 90651 | 523 | 523 | $13K | |
| 36620 | 184 | 182 | $13K | |
| 87804 | 583 | 579 | $13K | |
| 90474 | 701 | 701 | $13K | |
| 94010 | 1,242 | 1,233 | $12K | |
| Q4040 | Cast sup shrt leg ped fbrgls | 380 | 168 | $12K |
| 76825 | 37 | 37 | $12K | |
| 95811 | 63 | 63 | $12K | |
| 59426 | 13 | 13 | $12K | |
| 72100 | 707 | 697 | $12K | |
| 73110 | 776 | 707 | $11K | |
| 76800 | 106 | 106 | $10K | |
| 90714 | 366 | 366 | $10K | |
| 73721 | 101 | 96 | $10K | |
| 74455 | 205 | 205 | $10K | |
| 72040 | 540 | 515 | $9K | |
| 96130 | 92 | 92 | $9K | |
| 51797 | 59 | 59 | $9K | |
| 20610 | 126 | 125 | $9K | |
| 0071A | 217 | 217 | $9K | |
| 90834 | 131 | 106 | $8K | |
| 0124A | 205 | 205 | $8K | |
| 90480 | 210 | 210 | $8K | |
| 99441 | 153 | 151 | $8K | |
| 73502 | 495 | 489 | $8K | |
| 90713 | 323 | 323 | $8K | |
| 99443 | 49 | 49 | $7K | |
| 92593 | 176 | 169 | $7K | |
| 99386 | 52 | 52 | $7K | |
| 51600 | 95 | 95 | $7K | |
| 69421 | 37 | 37 | $7K | |
| 45380 | 24 | 24 | $7K | |
| 99156 | 52 | 52 | $7K | |
| 96131 | 81 | 80 | $6K | |
| 88173 | 132 | 128 | $6K | |
| 77263 | 25 | 25 | $6K | |
| 76870 | 121 | 120 | $6K | |
| 72156 | 38 | 37 | $6K | |
| 99383 | 32 | 32 | $6K | |
| 0072A | 146 | 146 | $6K | |
| 87428 | 198 | 196 | $6K | |
| 99464 | 46 | 46 | $6K | |
| 80061 | 472 | 472 | $6K | |
| 96133 | 14 | 14 | $5K | |
| 74178 | 43 | 43 | $5K | |
| 70250 | 330 | 304 | $5K | |
| 41010 | 27 | 26 | $5K | |
| Q4008 | Cast sup long arm ped fbrgls | 192 | 186 | $5K |
| 29450 | 29 | 14 | $5K | |
| 43762 | 24 | 24 | $5K | |
| 36415 | 1,045 | 1,015 | $5K | |
| 73080 | 313 | 295 | $5K | |
| 95886 | 43 | 43 | $5K | |
| 83036 | 522 | 522 | $4K | |
| 93298 | 101 | 92 | $4K | |
| 99051 | 648 | 633 | $4K | |
| 73140 | 364 | 345 | $4K | |
| 96139 | 13 | 13 | $4K | |
| 76856 | 70 | 69 | $4K | |
| 93227 | 125 | 124 | $4K | |
| 83655 | 351 | 351 | $4K | |
| 95813 | 27 | 27 | $4K | |
| 90832 | 69 | 63 | $4K | |
| 31622 | 28 | 26 | $4K | |
| 90847 | 46 | 43 | $4K | |
| 99155 | 27 | 26 | $4K | |
| 76882 | 73 | 67 | $4K | |
| 96136 | 92 | 92 | $4K | |
| 78452 | 28 | 28 | $4K | |
| 90656 | 924 | 923 | $3K | |
| 76827 | 37 | 37 | $3K | |
| 96161 | 681 | 658 | $3K | |
| 96132 | 29 | 28 | $3K | |
| 90836 | 26 | 24 | $3K | |
| 00300 | 14 | 13 | $3K | |
| 96158 | 109 | 107 | $3K | |
| 99235 | 12 | 12 | $3K | |
| 17110 | 40 | 40 | $3K | |
| 72197 | 25 | 25 | $3K | |
| 91200 | 276 | 276 | $3K | |
| 93923 | 95 | 90 | $3K | |
| 96137 | 68 | 68 | $2K | |
| 92652 | 25 | 24 | $2K | |
| 00811 | 12 | 12 | $2K | |
| 72081 | 101 | 98 | $2K | |
| 49083 | 14 | 12 | $2K | |
| 78306 | 39 | 39 | $2K | |
| 82947 | 587 | 585 | $2K | |
| 88331 | 38 | 38 | $2K | |
| 0001A | 49 | 49 | $2K | |
| 93018 | 95 | 95 | $2K | |
| 51784 | 70 | 70 | $2K | |
| 90677 | 512 | 512 | $2K | |
| 36555 | 13 | 13 | $2K | |
| 29425 | 13 | 13 | $2K | |
| 72158 | 13 | 12 | $2K | |
| 96156 | 28 | 28 | $2K | |
| 72157 | 12 | 12 | $2K | |
| 81025 | 218 | 218 | $2K | |
| 97165 | 18 | 18 | $2K | |
| 96372 | 78 | 71 | $2K | |
| 93244 | 38 | 38 | $2K | |
| 73060 | 118 | 112 | $2K | |
| 77290 | 12 | 12 | $2K | |
| 88172 | 67 | 66 | $2K | |
| 96112 | 12 | 12 | $1K | |
| 73620 | 88 | 74 | $1K | |
| 78708 | 12 | 12 | $1K | |
| 43752 | 17 | 13 | $1K | |
| 90460 | 25 | 25 | $1K | |
| 88321 | 15 | 15 | $1K | |
| 87502 | 14 | 14 | $1K | |
| 11721 | 125 | 125 | $1K | |
| 73600 | 72 | 66 | $1K | |
| 85018 | 496 | 496 | $1K | |
| 90674 | 652 | 651 | $1K | |
| 72131 | 13 | 12 | $965.27 | |
| 99100 | 50 | 50 | $947.93 | |
| 31575 | 14 | 14 | $943.34 | |
| 11102 | 17 | 17 | $883.46 | |
| 77076 | 15 | 15 | $871.50 | |
| 76937 | 43 | 43 | $824.02 | |
| 82962 | 320 | 301 | $812.51 | |
| 0002A | 20 | 20 | $800.00 | |
| 90756 | 47 | 47 | $743.68 | |
| 93294 | 15 | 15 | $705.02 | |
| 88141 | 38 | 38 | $698.03 | |
| 88312 | 12 | 12 | $695.70 | |
| 88142 | 37 | 37 | $604.72 | |
| 0051A | 15 | 15 | $600.00 | |
| 76604 | 12 | 12 | $577.92 | |
| 0154A | 14 | 14 | $560.00 | |
| 93316 | 12 | 12 | $558.72 | |
| 72110 | 29 | 29 | $557.25 | |
| 11900 | 12 | 12 | $549.56 | |
| 88302 | 55 | 55 | $547.98 | |
| 0081A | 13 | 13 | $520.00 | |
| 93784 | 13 | 12 | $482.88 | |
| 0004A | 12 | 12 | $480.00 | |
| 93926 | 14 | 13 | $476.84 | |
| 90661 | 74 | 74 | $448.50 | |
| 88311 | 40 | 40 | $435.42 | |
| 94729 | 37 | 37 | $412.21 | |
| 96138 | 13 | 13 | $404.17 | |
| 76010 | 30 | 29 | $403.72 | |
| 96381 | 30 | 30 | $371.70 | |
| 97804 | 12 | 12 | $354.56 | |
| 78700 | 12 | 12 | $344.30 | |
| 92504 | 13 | 13 | $326.04 | |
| Q4012 | Cast sup sht arm ped fbrglas | 24 | 24 | $309.94 |
| 72050 | 13 | 13 | $278.97 | |
| 81003 | 135 | 134 | $262.25 | |
| 92555 | 12 | 12 | $253.22 | |
| 73000 | 17 | 16 | $252.18 | |
| 93790 | 15 | 15 | $227.50 | |
| 85610 | 58 | 40 | $221.56 | |
| 72190 | 13 | 13 | $199.42 | |
| 70360 | 12 | 12 | $181.32 | |
| 81002 | 59 | 58 | $179.56 | |
| J3301 | Triamcinolone acet inj nos | 38 | 38 | $164.15 |
| G2211 | Complex e/m visit add on | 62 | 57 | $97.66 |
| 11056 | 15 | 15 | $86.42 | |
| 90633 | 752 | 751 | $0.03 | |
| 90680 | 395 | 395 | $0.00 | |
| 90619 | 88 | 88 | $0.00 | |
| 90697 | 482 | 482 | $0.00 | |
| 90698 | 348 | 348 | $0.00 | |
| 90723 | 470 | 470 | $0.00 | |
| 90647 | 450 | 450 | $0.00 | |
| 90696 | 95 | 95 | $0.00 | |
| 90688 | 81 | 81 | $0.00 | |
| 90744 | 244 | 244 | $0.00 | |
| 90670 | 1,693 | 1,693 | $0.00 | |
| 90671 | 382 | 382 | $0.00 | |
| 90700 | 61 | 61 | $0.00 | |
| 90710 | 104 | 104 | $0.00 | |
| 90681 | 263 | 263 | $0.00 | |
| 90734 | 144 | 144 | $0.00 | |
| 91312 | 51 | 51 | $0.00 | |
| 96160 | 30 | 30 | $0.00 |