NPI: 1629510854 · ROCHESTER, MN 55901 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 336 | $10K |
| 2021 | 316 | $9K |
| 2022 | 73 | $0.00 |
| 2023 | 105 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99606 | 316 | 219 | $8K | |
| 99607 | 85 | 84 | $6K | |
| 99605 | 83 | 83 | $4K | |
| 0013A | 39 | 39 | $520.00 | |
| 0011A | 59 | 59 | $12.84 | |
| G0008 | Admin influenza virus vac | 77 | 76 | $0.00 |
| 90480 | 27 | 27 | $0.00 | |
| 0012A | 41 | 41 | $0.00 | |
| 90694 | 16 | 15 | $0.00 | |
| 90662 | 17 | 17 | $0.00 | |
| 90682 | 14 | 14 | $0.00 | |
| 91322 | 27 | 27 | $0.00 | |
| 0124A | 29 | 28 | $0.00 |