NPI: 1649205816 · ERIE, PA 16505 · 208M00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,664 | $25K |
| 2019 | 2,284 | $27K |
| 2020 | 3,815 | $40K |
| 2021 | 10,737 | $91K |
| 2022 | 7,706 | $104K |
| 2023 | 2,743 | $75K |
| 2024 | 2,566 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 7,876 | 7,141 | $211K | |
| 99214 | 1,342 | 1,295 | $40K | |
| 99309 | 2,440 | 2,237 | $32K | |
| V2100 | Lens spher single plano 4.00 | 667 | 343 | $20K |
| 92134 | 800 | 771 | $18K | |
| 92004 | 362 | 346 | $18K | |
| V2020 | Vision svcs frames purchases | 587 | 458 | $13K |
| 92014 | 370 | 356 | $13K | |
| 99204 | 168 | 165 | $12K | |
| 99308 | 926 | 836 | $12K | |
| 92133 | 212 | 208 | $6K | |
| V2784 | Lens polycarb or equal | 199 | 92 | $5K |
| 98928 | 124 | 91 | $4K | |
| 11721 | 577 | 565 | $4K | |
| 99307 | 497 | 197 | $3K | |
| 90688 | 211 | 208 | $3K | |
| 99212 | 100 | 95 | $2K | |
| 92551 | 283 | 279 | $2K | |
| 92015 | 431 | 418 | $1K | |
| 99231 | 323 | 55 | $1K | |
| 98927 | 37 | 26 | $961.88 | |
| 90686 | 134 | 127 | $952.05 | |
| 98929 | 67 | 49 | $822.86 | |
| 99306 | Prolong nursin fac eval 15m | 16 | 14 | $812.16 |
| 90460 | 198 | 154 | $770.00 | |
| 99252 | 15 | 13 | $768.10 | |
| 99173 | 213 | 208 | $619.41 | |
| G0444 | Depression screen annual | 465 | 450 | $593.59 |
| 92012 | 12 | 12 | $461.76 | |
| 36415 | 397 | 382 | $459.93 | |
| 3074F | 1,667 | 1,521 | $450.00 | |
| 3078F | 776 | 715 | $310.00 | |
| 99051 | 12 | 12 | $232.68 | |
| 90471 | 57 | 52 | $210.00 | |
| 3079F | 155 | 151 | $80.00 | |
| 96127 | 28 | 28 | $78.51 | |
| 99497 | 108 | 107 | $77.45 | |
| G8510 | Scr dep neg, no plan reqd | 230 | 218 | $0.00 |
| 1036F | 321 | 274 | $0.00 | |
| 1111F | 574 | 478 | $0.00 | |
| G8420 | Calc bmi norm parameters | 141 | 130 | $0.00 |
| 1170F | 174 | 150 | $0.00 | |
| 90674 | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| 1160F | 3,065 | 2,766 | $0.00 | |
| 1159F | 2,987 | 2,699 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 1,308 | 1,228 | $0.00 |
| G9622 | No unheal etoh user | 188 | 165 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 423 | 351 | $0.00 |
| G8483 | Flu imm no admin doc rea | 144 | 141 | $0.00 |
| 99326 | 14 | 14 | $0.00 | |
| 90715 | 18 | 18 | $0.00 | |
| 99334 | 13 | 13 | $0.00 | |
| 90734 | 21 | 20 | $0.00 | |
| G8482 | Flu immunize order/admin | 15 | 15 | $0.00 |