HY-VEE HEALTH EXEMPLAR CARE
NPI: 1780270652
· WEST DES MOINES, IA 50266
· 261Q00000X
$573K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,104 |
$38K |
| 2022 |
8,749 |
$280K |
| 2023 |
11,826 |
$154K |
| 2024 |
8,202 |
$102K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
|
3,907 |
3,605 |
$176K |
| 99213 |
|
8,301 |
7,198 |
$149K |
| 87426 |
|
3,047 |
2,769 |
$69K |
| 99204 |
|
782 |
742 |
$49K |
| 99214 |
|
2,316 |
2,100 |
$49K |
| 87804 |
|
4,005 |
1,872 |
$35K |
| 87880 |
|
2,861 |
2,652 |
$23K |
| 96127 |
|
805 |
406 |
$9K |
| 99212 |
|
530 |
434 |
$6K |
| 96372 |
|
1,386 |
1,067 |
$2K |
| 81025 |
|
396 |
370 |
$2K |
| 99202 |
|
28 |
27 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
444 |
364 |
$771.94 |
| 87807 |
|
49 |
46 |
$744.09 |
| 81003 |
|
907 |
848 |
$498.08 |
| 87420 |
|
14 |
14 |
$215.76 |
| J1100 |
Dexamethasone sodium phos |
91 |
84 |
$89.78 |
| 99395 |
|
12 |
12 |
$0.00 |