NPI: 1588692487 · DES MOINES, IA 50320 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 41,261 | $2.13M |
| 2019 | 28,728 | $1.83M |
| 2020 | 20,472 | $1.48M |
| 2021 | 21,188 | $1.77M |
| 2022 | 16,223 | $1.37M |
| 2023 | 19,901 | $1.64M |
| 2024 | 29,389 | $1.83M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 42,176 | 35,229 | $8.37M |
| D9999 | 14,604 | 11,448 | $2.35M | |
| D0999 | 5,692 | 5,114 | $1.26M | |
| S0280 | Medical home, initial plan | 553 | 492 | $21K |
| D1206 | 7,281 | 6,798 | $8K | |
| D1120 | 4,964 | 4,631 | $7K | |
| D0120 | 6,030 | 5,671 | $7K | |
| D1999 | 30 | 27 | $5K | |
| D1110 | 2,253 | 2,133 | $4K | |
| 99213 | 21,072 | 18,961 | $3K | |
| D0274 | 2,377 | 2,258 | $2K | |
| D2392 | 128 | 82 | $2K | |
| D0330 | 1,696 | 1,581 | $2K | |
| D0150 | 1,887 | 1,750 | $2K | |
| D2391 | 96 | 66 | $2K | |
| D0272 | 1,803 | 1,650 | $2K | |
| G0467 | Fqhc visit, estab pt | 119 | 100 | $1K |
| 99214 | 4,240 | 3,972 | $670.92 | |
| D1351 | 3,980 | 988 | $656.12 | |
| D0603 | 1,441 | 1,230 | $320.00 | |
| 3078F | 901 | 847 | $300.00 | |
| 3074F | 990 | 924 | $300.00 | |
| D0602 | 1,070 | 825 | $275.00 | |
| D7140 | 398 | 207 | $239.81 | |
| D0220 | 1,412 | 1,309 | $205.65 | |
| 90471 | 5,545 | 5,393 | $202.57 | |
| D4341 | 174 | 109 | $202.19 | |
| 3079F | 288 | 272 | $200.00 | |
| 99394 | 2,088 | 2,029 | $180.14 | |
| 90651 | 970 | 947 | $177.70 | |
| 99393 | 2,171 | 2,126 | $159.20 | |
| D0140 | 1,085 | 983 | $140.08 | |
| 3077F | 129 | 118 | $140.00 | |
| 3075F | 177 | 169 | $100.00 | |
| 90472 | 2,890 | 2,664 | $98.40 | |
| 99212 | 2,848 | 2,715 | $94.08 | |
| D0145 | 513 | 439 | $45.39 | |
| 3044F | 24 | 24 | $40.00 | |
| 90715 | 459 | 448 | $37.02 | |
| 83036 | 2,527 | 2,470 | $36.72 | |
| 90688 | 817 | 797 | $15.05 | |
| 82947 | 2,711 | 2,540 | $12.93 | |
| 80305 | 72 | 59 | $6.79 | |
| D0210 | 91 | 88 | $2.45 | |
| D4910 | 213 | 194 | $1.23 | |
| 85018 | 1,212 | 1,161 | $0.48 | |
| D2150 | 690 | 414 | $0.44 | |
| D0190 | 46 | 46 | $0.19 | |
| 90461 | 252 | 239 | $0.00 | |
| 99392 | 896 | 877 | $0.00 | |
| 99203 | 204 | 196 | $0.00 | |
| 87880 | 1,996 | 1,899 | $0.00 | |
| 90687 | 75 | 75 | $0.00 | |
| 81003 | 1,521 | 1,428 | $0.00 | |
| 90791 | 660 | 613 | $0.00 | |
| 99215 | Prolong outpt/office vis | 29 | 28 | $0.00 |
| 99395 | 164 | 159 | $0.00 | |
| 90734 | 612 | 599 | $0.00 | |
| 90832 | 1,003 | 785 | $0.00 | |
| 90633 | 204 | 201 | $0.00 | |
| 90621 | 249 | 238 | $0.00 | |
| 90460 | 1,114 | 1,067 | $0.00 | |
| 90707 | 57 | 56 | $0.00 | |
| 71046 | 57 | 52 | $0.00 | |
| 90658 | 68 | 67 | $0.00 | |
| 90837 | 136 | 93 | $0.00 | |
| 81025 | 430 | 410 | $0.00 | |
| D2140 | 176 | 101 | $0.00 | |
| 90649 | 13 | 13 | $0.00 | |
| 0124A | 15 | 15 | $0.00 | |
| 91320 | 25 | 25 | $0.00 | |
| 99396 | 102 | 102 | $0.00 | |
| 99442 | 30 | 24 | $0.00 | |
| 99391 | 102 | 100 | $0.00 | |
| 91312 | 15 | 15 | $0.00 | |
| 81002 | 12 | 12 | $0.00 | |
| 90713 | 14 | 14 | $0.00 | |
| 90746 | 27 | 27 | $0.00 | |
| D1310 | 1,541 | 1,498 | $0.00 | |
| 82044 | 504 | 499 | $0.00 | |
| 99202 | 257 | 252 | $0.00 | |
| D1330 | 1,552 | 1,506 | $0.00 | |
| 87426 | 77 | 77 | $0.00 | |
| 99384 | 28 | 27 | $0.00 | |
| 36416 | 517 | 507 | $0.00 | |
| 90686 | 1,258 | 1,227 | $0.00 | |
| 87428 | 595 | 567 | $0.00 | |
| 90716 | 289 | 281 | $0.00 | |
| 2010F | 1,491 | 1,369 | $0.00 | |
| 90677 | 58 | 56 | $0.00 | |
| 91315 | 13 | 13 | $0.00 | |
| 90696 | 13 | 13 | $0.00 | |
| 2000F | 1,300 | 1,201 | $0.00 | |
| 2001F | 1,466 | 1,351 | $0.00 | |
| 90834 | 271 | 198 | $0.00 | |
| 99385 | 34 | 34 | $0.00 | |
| 90656 | 236 | 228 | $0.00 | |
| 90480 | 67 | 66 | $0.00 | |
| 96372 | 67 | 64 | $0.00 | |
| 90619 | 114 | 110 | $0.00 | |
| 90474 | 13 | 13 | $0.00 | |
| 99383 | 36 | 36 | $0.00 | |
| 3080F | 105 | 99 | $0.00 | |
| 36415 | 56 | 53 | $0.00 | |
| 0154A | 13 | 12 | $0.00 |