NPI: 1669738902 · DES MOINES, IA 50320 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,572 | $1.11M |
| 2019 | 25,620 | $1.15M |
| 2020 | 19,687 | $811K |
| 2021 | 24,535 | $1.20M |
| 2022 | 22,513 | $1.13M |
| 2023 | 22,302 | $1.13M |
| 2024 | 17,880 | $1.01M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D5110 | 3,168 | 2,972 | $1.62M | |
| D5120 | 2,115 | 2,009 | $1.08M | |
| D1110 | 14,602 | 14,478 | $539K | |
| D2392 | 7,150 | 4,272 | $513K | |
| D0120 | 19,068 | 18,912 | $348K | |
| D1208 | 22,711 | 22,505 | $346K | |
| D2752 | 781 | 521 | $305K | |
| D0210 | 5,067 | 5,001 | $247K | |
| D7210 | 2,498 | 1,098 | $241K | |
| D0274 | 9,250 | 9,153 | $222K | |
| D4910 | 3,542 | 3,519 | $214K | |
| D0150 | 9,396 | 9,289 | $214K | |
| D0140 | 7,711 | 7,582 | $190K | |
| D2393 | 2,466 | 1,683 | $185K | |
| D1351 | 7,570 | 789 | $149K | |
| D5214 | 286 | 239 | $143K | |
| D7140 | 2,759 | 799 | $139K | |
| D1120 | 5,071 | 5,007 | $138K | |
| D2391 | 2,184 | 1,365 | $112K | |
| D2950 | 1,013 | 778 | $100K | |
| D2332 | 1,154 | 591 | $88K | |
| D0220 | 6,697 | 6,543 | $66K | |
| D0330 | 1,823 | 1,804 | $63K | |
| D0230 | 6,540 | 3,010 | $50K | |
| D5213 | 107 | 84 | $50K | |
| D4341 | 372 | 175 | $34K | |
| D5750 | 164 | 163 | $26K | |
| D0603 | 5,348 | 5,294 | $24K | |
| D2740 | 53 | 38 | $20K | |
| D2335 | 188 | 112 | $15K | |
| D0460 | 677 | 663 | $11K | |
| D0601 | 1,956 | 1,919 | $9K | |
| D2331 | 130 | 92 | $8K | |
| D0272 | 265 | 263 | $4K | |
| D2394 | 50 | 37 | $4K | |
| D5751 | 25 | 25 | $4K | |
| D1354 | 623 | 128 | $4K | |
| D0602 | 463 | 455 | $2K | |
| D4355 | 38 | 38 | $2K | |
| D5410 | 14 | 14 | $286.73 | |
| D1330 | 14 | 12 | $0.00 |