NPI: 1669599981 · WACONIA, MN 55387 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27,234 | $208K |
| 2019 | 27,029 | $736K |
| 2020 | 21,165 | $607K |
| 2021 | 24,559 | $786K |
| 2022 | 18,430 | $723K |
| 2023 | 11,099 | $488K |
| 2024 | 8,455 | $402K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 40,727 | 34,374 | $1.78M | |
| 99214 | 16,415 | 14,490 | $938K | |
| S0302 | Completed epsdt | 6,775 | 6,485 | $191K |
| 99392 | 1,800 | 1,710 | $108K | |
| 90471 | 8,625 | 8,102 | $105K | |
| 99391 | 1,876 | 1,695 | $98K | |
| 90472 | 4,264 | 3,968 | $66K | |
| 0241U | 418 | 401 | $57K | |
| 92552 | 3,050 | 2,886 | $55K | |
| X5622 | 2,369 | 2,314 | $53K | |
| 99393 | 762 | 714 | $47K | |
| 99215 | Prolong outpt/office vis | 429 | 354 | $46K |
| 92014 | 525 | 504 | $42K | |
| 0240U | 246 | 235 | $36K | |
| 87430 | 2,535 | 2,415 | $30K | |
| 36415 | 15,038 | 13,074 | $30K | |
| 84443 | 2,081 | 1,949 | $25K | |
| 85025 | 5,076 | 4,610 | $23K | |
| 87651 | 636 | 612 | $21K | |
| 99394 | 285 | 278 | $19K | |
| 80061 | 1,857 | 1,712 | $16K | |
| 99309 | 282 | 199 | $14K | |
| 92015 | 1,272 | 1,211 | $14K | |
| 87804 | 1,320 | 616 | $13K | |
| 87081 | 2,433 | 2,299 | $12K | |
| 80053 | 1,442 | 1,329 | $11K | |
| 87426 | 288 | 258 | $9K | |
| 99203 | 137 | 131 | $9K | |
| 96110 | 1,103 | 1,059 | $8K | |
| 99188 | 809 | 784 | $8K | |
| 90670 | 930 | 901 | $6K | |
| 99396 | 70 | 69 | $6K | |
| 80048 | 872 | 802 | $6K | |
| 90688 | 391 | 381 | $5K | |
| 83036 | 506 | 496 | $5K | |
| 99212 | 125 | 119 | $4K | |
| 81001 | 1,747 | 1,560 | $4K | |
| 99173 | 2,455 | 2,334 | $4K | |
| 87088 | 726 | 641 | $3K | |
| 90682 | 51 | 51 | $3K | |
| 90686 | 1,613 | 1,554 | $2K | |
| 71046 | 91 | 82 | $1K | |
| 92551 | 171 | 169 | $1K | |
| 92340 | 50 | 49 | $1K | |
| 0012A | 39 | 37 | $1K | |
| Q0091 | Obtaining screen pap smear | 25 | 25 | $1K |
| 90734 | 80 | 75 | $1K | |
| 99395 | 12 | 12 | $1K | |
| 90698 | 934 | 901 | $1K | |
| 0011A | 37 | 35 | $1K | |
| 87491 | 36 | 36 | $952.76 | |
| 90651 | 98 | 88 | $952.51 | |
| V2020 | Vision svcs frames purchases | 58 | 49 | $939.68 |
| 82306 | 56 | 51 | $875.00 | |
| 0002A | 19 | 19 | $820.98 | |
| 36416 | 346 | 288 | $772.84 | |
| 90473 | 71 | 66 | $763.91 | |
| 85018 | 454 | 429 | $726.32 | |
| 90715 | 75 | 72 | $564.99 | |
| 90674 | 136 | 132 | $265.29 | |
| 96127 | 56 | 53 | $191.80 | |
| 90697 | 30 | 27 | $168.14 | |
| 90633 | 229 | 223 | $164.69 | |
| 90661 | 68 | 68 | $154.84 | |
| 90681 | 24 | 24 | $108.50 | |
| 84439 | 12 | 12 | $100.98 | |
| 87591 | 12 | 12 | $48.01 | |
| 90744 | 89 | 87 | $32.90 | |
| 90677 | 50 | 44 | $5.00 | |
| 90685 | 166 | 158 | $0.00 | |
| 83655 | 12 | 12 | $0.00 | |
| 87210 | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 48 | 46 | $0.00 |
| 96372 | 13 | 13 | $0.00 |