NPI: 1720041684 · GREAT BEND, KS 67530 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,443 | $126K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87633 | 107 | 99 | $37K | |
| 99283 | 365 | 352 | $14K | |
| 99284 | 317 | 294 | $13K | |
| 87276 | 376 | 366 | $6K | |
| 80053 | 844 | 550 | $6K | |
| 87798 | 107 | 99 | $5K | |
| 96372 | 153 | 68 | $5K | |
| 87430 | 344 | 337 | $4K | |
| 96361 | 69 | 55 | $4K | |
| 87081 | 338 | 333 | $3K | |
| 85025 | 932 | 667 | $3K | |
| 96365 | 62 | 13 | $2K | |
| 96374 | 102 | 92 | $2K | |
| 87088 | 125 | 113 | $1K | |
| 87486 | 107 | 99 | $1K | |
| 87581 | 107 | 99 | $1K | |
| 74177 | 14 | 14 | $1K | |
| 84443 | 101 | 98 | $1K | |
| 85027 | 114 | 105 | $1K | |
| 96375 | 37 | 34 | $1K | |
| 99285 | 14 | 13 | $1K | |
| 71046 | 95 | 84 | $908.78 | |
| 96360 | 19 | 15 | $884.59 | |
| 93005 | 79 | 70 | $882.89 | |
| 76816 | 14 | 12 | $870.47 | |
| 83735 | 148 | 67 | $811.71 | |
| 80048 | 81 | 78 | $651.65 | |
| 84439 | 60 | 58 | $646.55 | |
| 87186 | 44 | 42 | $603.68 | |
| 87158 | 89 | 84 | $590.45 | |
| 81001 | 155 | 140 | $481.40 | |
| 80061 | 41 | 41 | $401.32 | |
| 83036 | 59 | 59 | $389.37 | |
| 83615 | 85 | 54 | $367.97 | |
| 84703 | 36 | 36 | $352.24 | |
| 87070 | 43 | 43 | $327.55 | |
| 71045 | 61 | 57 | $313.82 | |
| 99282 | 16 | 15 | $310.01 | |
| 85610 | 159 | 88 | $290.23 | |
| 84484 | 40 | 34 | $279.95 | |
| 86317 | 21 | 21 | $264.83 | |
| 99281 | 17 | 16 | $249.38 | |
| 85007 | 115 | 106 | $245.71 | |
| 82728 | 13 | 13 | $189.76 | |
| 82378 | 13 | 12 | $174.91 | |
| 80305 | 15 | 12 | $173.70 | |
| 84466 | 16 | 16 | $172.38 | |
| 83540 | 32 | 31 | $111.60 | |
| 83690 | 13 | 12 | $109.41 | |
| 82950 | 12 | 12 | $91.29 | |
| 85651 | 22 | 17 | $80.46 | |
| J1885 | Ketorolac tromethamine inj | 40 | 40 | $65.76 |
| 86140 | 16 | 12 | $63.65 | |
| J7050 | Normal saline solution infus | 44 | 27 | $59.66 |
| 81003 | 83 | 80 | $56.82 | |
| 36415 | 1,633 | 1,155 | $54.00 | |
| J2405 | Ondansetron hcl injection | 51 | 46 | $41.64 |
| J7030 | Normal saline solution infus | 54 | 46 | $32.02 |
| J7120 | Ringers lactate infusion | 43 | 39 | $13.91 |
| J3010 | Fentanyl citrate injection | 27 | 26 | $9.49 |
| J1100 | Dexamethasone sodium phos | 12 | 12 | $5.94 |
| A4216 | Sterile water/saline, 10 ml | 22 | 12 | $4.18 |
| J2704 | Inj, propofol, 10 mg | 31 | 29 | $0.00 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 39 | 36 | $0.00 |