NPI: 1558310052 · BOSTON, MA 02118 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 83,210 | $3.51M |
| 2019 | 77,719 | $3.44M |
| 2020 | 24,615 | $1.70M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 38,157 | 30,430 | $6.05M |
| 99050 | 3,875 | 3,542 | $189K | |
| D9450 | 25,017 | 12,855 | $176K | |
| G0467 | Fqhc visit, estab pt | 4,825 | 3,726 | $152K |
| 99213 | 18,325 | 16,116 | $145K | |
| 92340 | 4,839 | 3,976 | $135K | |
| 90460 | 6,656 | 4,154 | $118K | |
| 92014 | 2,544 | 2,520 | $110K | |
| D1110 | 6,432 | 4,495 | $109K | |
| 99392 | 583 | 582 | $99K | |
| 99393 | 573 | 573 | $97K | |
| G0470 | Fqhc visit, mh estab pt | 2,652 | 1,496 | $94K |
| D9110 | 3,550 | 1,769 | $93K | |
| D7140 | 1,806 | 694 | $76K | |
| 99391 | 427 | 402 | $72K | |
| 99214 | 6,126 | 5,626 | $71K | |
| D2391 | 4,081 | 2,247 | $69K | |
| D0210 | 2,596 | 1,795 | $60K | |
| D0120 | 5,553 | 4,007 | $53K | |
| 99394 | 282 | 282 | $48K | |
| D0150 | 2,418 | 1,782 | $43K | |
| D2392 | 2,082 | 1,387 | $43K | |
| D1120 | 893 | 870 | $43K | |
| 96110 | 3,785 | 3,730 | $38K | |
| D0274 | 2,392 | 1,782 | $37K | |
| 99395 | 227 | 221 | $36K | |
| 92341 | 1,035 | 1,033 | $36K | |
| D0220 | 3,284 | 1,781 | $30K | |
| D1208 | 1,001 | 964 | $28K | |
| 99188 | 1,064 | 1,064 | $27K | |
| V2020 | Vision svcs frames purchases | 275 | 272 | $27K |
| 90471 | 1,628 | 1,599 | $24K | |
| 92004 | 347 | 347 | $23K | |
| 99211 | 4,788 | 3,157 | $19K | |
| 92015 | 1,585 | 1,578 | $19K | |
| D2331 | 760 | 491 | $17K | |
| 90834 | 2,191 | 1,299 | $14K | |
| D2330 | 623 | 351 | $13K | |
| D2150 | 446 | 303 | $11K | |
| D0230 | 1,177 | 536 | $9K | |
| 90461 | 761 | 552 | $9K | |
| 11721 | 492 | 455 | $7K | |
| G2023 | Specimen collect covid-19 | 226 | 213 | $7K |
| 81025 | 888 | 853 | $5K | |
| D2140 | 184 | 145 | $5K | |
| 90682 | 201 | 184 | $5K | |
| 96372 | 385 | 368 | $5K | |
| 90688 | 1,159 | 1,153 | $5K | |
| 82947 | 1,691 | 1,528 | $5K | |
| 90746 | 66 | 66 | $4K | |
| 97802 | 72 | 58 | $4K | |
| D2332 | 117 | 73 | $4K | |
| D0140 | 157 | 82 | $3K | |
| D2393 | 129 | 85 | $3K | |
| 90715 | 181 | 180 | $3K | |
| 99212 | 854 | 804 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 41 | 41 | $2K |
| H0001 | Alcohol and/or drug assess | 2,237 | 1,122 | $2K |
| D0272 | 75 | 65 | $2K | |
| 90651 | 155 | 154 | $2K | |
| 83036 | 245 | 236 | $2K | |
| 97803 | 47 | 43 | $2K | |
| D2160 | 47 | 31 | $1K | |
| 87880 | 103 | 101 | $1K | |
| D2335 | 21 | 13 | $1K | |
| 81002 | 448 | 365 | $1K | |
| 90686 | 67 | 67 | $957.11 | |
| D4341 | 239 | 142 | $925.00 | |
| 90670 | 261 | 254 | $858.48 | |
| 87804 | 66 | 66 | $756.67 | |
| 98928 | 12 | 12 | $588.43 | |
| 36415 | 650 | 602 | $532.44 | |
| 90472 | 92 | 91 | $507.10 | |
| 99442 | 27 | 25 | $484.38 | |
| 90658 | 59 | 58 | $452.19 | |
| 99051 | 190 | 178 | $436.92 | |
| 90734 | 104 | 104 | $416.64 | |
| 81003 | 171 | 159 | $363.79 | |
| 92552 | 16 | 16 | $332.96 | |
| 99173 | 16 | 16 | $320.00 | |
| G0008 | Admin influenza virus vac | 59 | 50 | $237.14 |
| 90473 | 17 | 16 | $182.30 | |
| 90716 | 44 | 43 | $77.20 | |
| 90647 | 251 | 246 | $26.63 | |
| A9150 | Misc/exper non-prescript dru | 14 | 14 | $25.05 |
| 90657 | 149 | 149 | $11.36 | |
| 94760 | 40 | 39 | $4.78 | |
| 90832 | 159 | 130 | $0.00 | |
| 90681 | 18 | 17 | $0.00 | |
| 90700 | 12 | 12 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 42 | 41 | $0.00 |
| 90837 | 17 | 12 | $0.00 | |
| 90633 | 293 | 292 | $0.00 | |
| Q0091 | Obtaining screen pap smear | 16 | 16 | $0.00 |
| 90707 | 26 | 26 | $0.00 | |
| J2315 | Naltrexone, depot form | 28 | 27 | $0.00 |
| 90710 | 33 | 33 | $0.00 | |
| 90680 | 127 | 125 | $0.00 | |
| 90696 | 33 | 33 | $0.00 | |
| 90723 | 159 | 156 | $0.00 | |
| 96151 | 143 | 81 | $0.00 | |
| 90792 | 12 | 12 | $0.00 |