NPI: 1639105158 · IOWA CITY, IA 52245 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 19 | $397.86 |
| 2020 | 12 | $356.78 |
| 2021 | 1,286 | $26K |
| 2022 | 311 | $7K |
| 2023 | 211 | $11K |
| 2024 | 105 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 395 | 384 | $13K |
| 0002A | 256 | 256 | $9K | |
| 91320 | 67 | 67 | $8K | |
| 0001A | 234 | 234 | $7K | |
| 0004A | 162 | 160 | $6K | |
| 90480 | 67 | 67 | $2K | |
| 0124A | 54 | 54 | $2K | |
| K1034 | Covid test self-admn/collect | 16 | 16 | $2K |
| 90686 | 56 | 56 | $716.15 | |
| 0071A | 12 | 12 | $480.00 | |
| A4215 | Sterile needle | 12 | 12 | $334.00 |
| 90471 | 55 | 55 | $249.41 | |
| A4259 | Lancets per box | 13 | 13 | $58.24 |
| 91300 | 482 | 447 | $0.00 | |
| 91312 | 51 | 51 | $0.00 | |
| 91307 | 12 | 12 | $0.00 |