NPI: 1740231752 · OKLAHOMA CITY, OK 73112 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,671 | $1.49M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | 614 | 613 | $555K | |
| 99284 | 1,961 | 1,943 | $390K | |
| 99283 | 2,289 | 2,279 | $312K | |
| 96374 | 528 | 523 | $54K | |
| 99282 | 639 | 637 | $50K | |
| 99285 | 158 | 157 | $42K | |
| 87804 | 457 | 456 | $12K | |
| 99281 | 209 | 209 | $9K | |
| 96361 | 239 | 237 | $9K | |
| 85025 | 1,110 | 1,096 | $9K | |
| 96372 | 169 | 168 | $8K | |
| 43239 | 27 | 27 | $6K | |
| 71045 | 721 | 716 | $6K | |
| 97597 | 202 | 111 | $5K | |
| 96375 | 156 | 152 | $5K | |
| 81025 | 655 | 650 | $4K | |
| 87880 | 232 | 231 | $3K | |
| 80048 | 375 | 371 | $3K | |
| 80053 | 187 | 184 | $2K | |
| 94640 | 89 | 84 | $2K | |
| 93005 | 201 | 197 | $1K | |
| 81001 | 404 | 402 | $1K | |
| 81003 | 558 | 556 | $1K | |
| 87081 | 178 | 178 | $1K | |
| 80047 | 89 | 88 | $945.93 | |
| 70450 | 24 | 24 | $853.98 | |
| 88305 | 15 | 15 | $571.47 | |
| 84484 | 51 | 50 | $544.44 | |
| 71046 | 28 | 28 | $436.75 | |
| J0461 | Atropine sulfate injection | 127 | 127 | $350.00 |
| 83690 | 37 | 36 | $259.82 | |
| 87420 | 16 | 16 | $194.72 | |
| J3010 | Fentanyl citrate injection | 273 | 273 | $159.41 |
| 87086 | 14 | 14 | $110.66 | |
| G0463 | Hospital outpt clinic visit | 18 | 12 | $92.12 |
| J2405 | Ondansetron hcl injection | 257 | 257 | $82.28 |
| J1885 | Ketorolac tromethamine inj | 55 | 55 | $0.00 |
| J2250 | Inj midazolam hydrochloride | 26 | 26 | $0.00 |
| J1100 | Dexamethasone sodium phos | 257 | 257 | $0.00 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 26 | 26 | $0.00 |