NPI: 1588674675 · DES MOINES, IA 50314 · Public Health or Welfare Agency · NPI assigned 08/09/2006
| Authorized Official | VAN LIEW, JULIANN (DIRECTOR) |
| NPI Enumeration Date | 08/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,674 | $44K |
| 2019 | 4,737 | $27K |
| 2020 | 4,284 | $21K |
| 2021 | 7,398 | $108K |
| 2022 | 3,876 | $34K |
| 2023 | 2,531 | $30K |
| 2024 | 2,574 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 2,031 | 1,819 | $60K | |
| 90688 | 6,841 | 5,709 | $50K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 10,762 | 9,063 | $43K |
| 0002A | 1,053 | 951 | $36K | |
| 90716 | 402 | 333 | $21K | |
| 91322 | 221 | 214 | $19K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2,521 | 2,183 | $17K |
| 90717 | 669 | 560 | $13K | |
| 90691 | 529 | 442 | $10K | |
| 0003A | 195 | 187 | $7K | |
| 90480 | 413 | 394 | $7K | |
| 91321 | 153 | 143 | $6K | |
| 90715 | 319 | 275 | $6K | |
| 90713 | 197 | 190 | $5K | |
| 0134A | 123 | 105 | $3K | |
| 0072A | 84 | 83 | $3K | |
| 0071A | 70 | 70 | $3K | |
| 90746 | 48 | 47 | $2K | |
| 90734 | 164 | 128 | $2K | |
| 90707 | 27 | 25 | $1K | |
| 90651 | 170 | 134 | $1K | |
| 90714 | 45 | 39 | $990.00 | |
| 0124A | 21 | 20 | $800.00 | |
| 90658 | 47 | 43 | $640.86 | |
| 0082A | 12 | 12 | $280.00 | |
| 0081A | 16 | 12 | $200.00 | |
| 86580 | 29 | 27 | $182.44 | |
| 90633 | 326 | 287 | $156.55 | |
| 90620 | 41 | 38 | $153.76 | |
| 90662 | 88 | 59 | $45.00 | |
| 91300 | 2,835 | 2,436 | $0.00 | |
| 90611 | 34 | 32 | $0.00 | |
| 91312 | 21 | 20 | $0.00 | |
| 91313 | 126 | 107 | $0.00 | |
| 91308 | 26 | 21 | $0.00 | |
| 90656 | 126 | 126 | $0.00 | |
| 91307 | 226 | 209 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $0.00 |
| 90622 | 18 | 17 | $0.00 | |
| 91314 | 16 | 14 | $0.00 | |
| 0144A | 16 | 14 | $0.00 |