NPI: 1639513377 · DETROIT LAKES, MN 56501 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28,981 | $314K |
| 2019 | 31,881 | $1.16M |
| 2020 | 24,355 | $895K |
| 2021 | 27,633 | $1.15M |
| 2022 | 29,319 | $1.16M |
| 2023 | 34,745 | $1.20M |
| 2024 | 24,440 | $915K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 60,943 | 52,504 | $2.23M | |
| 99214 | 41,884 | 35,827 | $2.20M | |
| 90837 | 4,146 | 2,661 | $333K | |
| 99203 | 3,843 | 3,672 | $164K | |
| X5622 | 1,341 | 1,260 | $138K | |
| 90460 | 3,416 | 3,322 | $127K | |
| 99392 | 2,251 | 2,202 | $108K | |
| 99309 | 2,043 | 1,438 | $100K | |
| 92014 | 1,365 | 1,354 | $74K | |
| 99391 | 1,841 | 1,695 | $72K | |
| 99215 | Prolong outpt/office vis | 806 | 739 | $70K |
| 74177 | 1,279 | 1,226 | $70K | |
| S0302 | Completed epsdt | 3,043 | 2,944 | $59K |
| 99393 | 1,219 | 1,192 | $55K | |
| 90461 | 2,053 | 1,990 | $47K | |
| 99212 | 2,266 | 2,170 | $46K | |
| V2020 | Vision svcs frames purchases | 1,446 | 1,400 | $44K |
| 77067 | 1,753 | 1,726 | $43K | |
| 92004 | 661 | 654 | $42K | |
| 99310 | Prolong nursin fac eval 15m | 480 | 341 | $40K |
| 71046 | 6,000 | 5,691 | $39K | |
| 76816 | 1,377 | 1,297 | $36K | |
| 92015 | 2,791 | 2,751 | $35K | |
| 99204 | 374 | 363 | $31K | |
| 93010 | 7,159 | 5,961 | $31K | |
| V2784 | Lens polycarb or equal | 2,200 | 1,375 | $31K |
| 70450 | 1,057 | 1,004 | $26K | |
| 77063 | 1,277 | 1,256 | $25K | |
| 99202 | 839 | 818 | $24K | |
| 99607 | 657 | 543 | $24K | |
| 71045 | 4,386 | 3,670 | $23K | |
| 90471 | 1,418 | 1,372 | $21K | |
| 99394 | 422 | 396 | $20K | |
| 76856 | 859 | 841 | $19K | |
| 90834 | 277 | 197 | $18K | |
| 76830 | 789 | 756 | $18K | |
| 92551 | 2,818 | 2,741 | $17K | |
| V2106 | Spherocylinder 4.00d/>6.00d | 471 | 283 | $17K |
| 90791 | 158 | 153 | $16K | |
| 92340 | 1,208 | 1,184 | $15K | |
| 73630 | 2,829 | 2,377 | $14K | |
| 96110 | 1,885 | 1,766 | $14K | |
| 76705 | 748 | 717 | $13K | |
| 99395 | 236 | 229 | $13K | |
| 99606 | 390 | 291 | $12K | |
| 99443 | 162 | 143 | $12K | |
| V2100 | Lens spher single plano 4.00 | 372 | 214 | $12K |
| 73721 | 272 | 254 | $11K | |
| 99605 | 208 | 198 | $10K | |
| 76805 | 315 | 306 | $9K | |
| 01967 | 81 | 78 | $9K | |
| 96130 | 87 | 70 | $9K | |
| 73610 | 1,432 | 1,278 | $8K | |
| 96127 | 2,123 | 2,083 | $7K | |
| 72148 | 152 | 149 | $7K | |
| 99205 | Prolong outpt/office vis | 27 | 26 | $7K |
| 99336 | 64 | 37 | $6K | |
| 76801 | 199 | 190 | $6K | |
| 99442 | 108 | 104 | $5K | |
| 70553 | 72 | 70 | $5K | |
| 99188 | 684 | 664 | $5K | |
| 90472 | 350 | 336 | $4K | |
| 71275 | 83 | 79 | $4K | |
| 73030 | 706 | 642 | $4K | |
| 99173 | 2,755 | 2,676 | $4K | |
| 73562 | 626 | 574 | $4K | |
| 20610 | 121 | 112 | $3K | |
| 99396 | 40 | 40 | $3K | |
| 73110 | 477 | 430 | $3K | |
| 99244 | 25 | 25 | $2K | |
| 73130 | 401 | 352 | $2K | |
| 69210 | 116 | 114 | $2K | |
| 76819 | 80 | 52 | $2K | |
| 90662 | 25 | 25 | $1K | |
| 17110 | 25 | 25 | $1K | |
| 92341 | 66 | 64 | $1K | |
| 99335 | 15 | 13 | $1K | |
| 96131 | 12 | 12 | $1K | |
| 73502 | 146 | 137 | $1K | |
| 99243 | 15 | 15 | $979.44 | |
| 99417 | Prolong home eval add 15m | 15 | 14 | $905.30 |
| 99308 | 165 | 130 | $873.57 | |
| 99349 | 15 | 12 | $790.56 | |
| 74176 | 12 | 12 | $767.31 | |
| 99383 | 14 | 14 | $694.71 | |
| 72100 | 82 | 80 | $629.95 | |
| 74018 | 99 | 93 | $605.59 | |
| 73140 | 128 | 115 | $585.22 | |
| 76642 | 27 | 25 | $538.74 | |
| 72141 | 12 | 12 | $531.70 | |
| G2211 | Complex e/m visit add on | 174 | 160 | $526.30 |
| 73221 | 13 | 13 | $472.23 | |
| G0008 | Admin influenza virus vac | 25 | 25 | $403.16 |
| 96136 | 12 | 12 | $390.03 | |
| 73564 | 49 | 39 | $371.18 | |
| 76817 | 14 | 13 | $356.80 | |
| 93971 | 31 | 25 | $355.22 | |
| 76815 | 14 | 12 | $285.12 | |
| 98940 | 22 | 13 | $257.16 | |
| 98941 | 14 | 12 | $229.60 | |
| 99406 | 26 | 25 | $212.72 | |
| 73080 | 13 | 12 | $72.48 | |
| 96161 | 34 | 26 | $48.22 | |
| 36415 | 61 | 57 | $40.96 | |
| 90686 | 1,394 | 1,375 | $22.67 | |
| 90677 | 80 | 78 | $0.19 | |
| 90670 | 864 | 845 | $0.05 | |
| 90723 | 630 | 606 | $0.02 | |
| 90647 | 639 | 615 | $0.02 | |
| 90680 | 446 | 432 | $0.01 | |
| 90651 | 163 | 155 | $0.01 | |
| 90633 | 384 | 369 | $0.01 | |
| 90688 | 15 | 15 | $0.00 | |
| 99024 | 728 | 562 | $0.00 | |
| 90716 | 27 | 27 | $0.00 | |
| 90696 | 42 | 40 | $0.00 | |
| 90656 | 87 | 81 | $0.00 | |
| G1004 | Cdsm ndsc | 1,339 | 958 | $0.00 |
| 90734 | 83 | 73 | $0.00 | |
| 90710 | 47 | 45 | $0.00 | |
| 99238 | 26 | 24 | $0.00 | |
| 90715 | 34 | 30 | $0.00 | |
| 90707 | 26 | 26 | $0.00 | |
| 90700 | 12 | 12 | $0.00 | |
| 90685 | 71 | 70 | $0.00 |