NPI: 1780697813 · OKLAHOMA CITY, OK 73139 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 62,157 | $6.57M |
| 2019 | 72,108 | $6.72M |
| 2020 | 65,865 | $5.82M |
| 2021 | 90,195 | $7.53M |
| 2022 | 94,876 | $9.02M |
| 2023 | 80,522 | $9.10M |
| 2024 | 79,923 | $8.44M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 222,668 | 208,517 | $51.18M |
| 99213 | 105,229 | 99,574 | $372K | |
| D8080 | 246 | 246 | $299K | |
| D2392 | 2,202 | 1,594 | $222K | |
| 99214 | 15,623 | 15,307 | $186K | |
| D9999 | 474 | 467 | $139K | |
| D2930 | 862 | 673 | $104K | |
| D9230 | 3,532 | 3,307 | $96K | |
| D2391 | 1,113 | 853 | $68K | |
| 0002A | 1,209 | 1,209 | $48K | |
| 0001A | 1,150 | 1,148 | $46K | |
| G0467 | Fqhc visit, estab pt | 1,398 | 1,297 | $44K |
| 99391 | 4,099 | 4,070 | $36K | |
| 99393 | 4,323 | 4,323 | $31K | |
| 92340 | 953 | 952 | $29K | |
| 99392 | 4,953 | 4,950 | $26K | |
| 99394 | 2,806 | 2,806 | $24K | |
| 0071A | 562 | 558 | $22K | |
| D7140 | 321 | 164 | $22K | |
| 90472 | 5,732 | 5,725 | $22K | |
| 0072A | 543 | 543 | $22K | |
| 90471 | 10,419 | 10,388 | $20K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 1,303 | 1,300 | $17K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 558 | 557 | $13K |
| D0140 | 373 | 372 | $11K | |
| D9310 | 211 | 211 | $10K | |
| V2020 | Vision svcs frames purchases | 979 | 978 | $10K |
| 90832 | 197 | 157 | $9K | |
| 87428 | 5,392 | 5,380 | $9K | |
| 99212 | 3,617 | 3,561 | $8K | |
| 0013A | 189 | 189 | $8K | |
| 90791 | 566 | 566 | $7K | |
| 0003A | 161 | 161 | $6K | |
| 0012A | 167 | 167 | $6K | |
| 0011A | 212 | 212 | $5K | |
| 99395 | 586 | 586 | $5K | |
| 99203 | 778 | 778 | $3K | |
| 90474 | 586 | 585 | $3K | |
| 87880 | 4,546 | 4,532 | $3K | |
| 99215 | Prolong outpt/office vis | 326 | 325 | $2K |
| 83036 | 2,759 | 2,757 | $2K | |
| 90656 | 202 | 201 | $2K | |
| 0054A | 43 | 43 | $2K | |
| D1120 | 15,515 | 15,513 | $2K | |
| 97802 | 25 | 24 | $1K | |
| 0004A | 30 | 30 | $1K | |
| 99396 | 140 | 140 | $1K | |
| D0120 | 17,978 | 17,975 | $1K | |
| D3120 | 28 | 24 | $833.70 | |
| 90715 | 396 | 395 | $698.25 | |
| 0111A | 17 | 17 | $680.00 | |
| D0220 | 38 | 38 | $575.12 | |
| 0124A | 14 | 14 | $560.00 | |
| 0031A | 13 | 13 | $520.00 | |
| V2100 | Lens spher single plano 4.00 | 25 | 25 | $488.25 |
| 0051A | 12 | 12 | $480.00 | |
| 90746 | 12 | 12 | $461.23 | |
| 99204 | 240 | 240 | $442.89 | |
| 92004 | 48 | 48 | $367.31 | |
| D0274 | 7,363 | 7,362 | $347.73 | |
| D0272 | 1,620 | 1,620 | $292.64 | |
| D1110 | 6,592 | 6,591 | $283.64 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $251.10 |
| 92014 | 275 | 275 | $220.38 | |
| 99406 | 13 | 12 | $179.66 | |
| D1206 | 22,879 | 22,856 | $157.31 | |
| 99381 | 138 | 138 | $95.69 | |
| 81025 | 336 | 335 | $57.29 | |
| D0150 | 1,962 | 1,962 | $30.50 | |
| 81003 | 106 | 92 | $24.00 | |
| 88720 | 94 | 79 | $22.35 | |
| 90633 | 1,170 | 1,170 | $0.07 | |
| 90734 | 932 | 932 | $0.00 | |
| D0145 | 1,016 | 1,016 | $0.00 | |
| 90681 | 814 | 813 | $0.00 | |
| 90671 | 711 | 707 | $0.00 | |
| 3078F | 4,529 | 4,354 | $0.00 | |
| 87804 | 1,117 | 1,116 | $0.00 | |
| 92015 | 802 | 802 | $0.00 | |
| D0330 | 1,287 | 1,287 | $0.00 | |
| 90670 | 1,680 | 1,680 | $0.00 | |
| 90700 | 135 | 135 | $0.00 | |
| 3077F | 27 | 26 | $0.00 | |
| 90460 | 773 | 773 | $0.00 | |
| 80305 | 105 | 101 | $0.00 | |
| D1354 | 1,010 | 347 | $0.00 | |
| 90710 | 222 | 222 | $0.00 | |
| 90661 | 312 | 312 | $0.00 | |
| 97803 | 13 | 13 | $0.00 | |
| 90707 | 74 | 74 | $0.00 | |
| 99188 | 13 | 13 | $0.00 | |
| 3008F | 7,373 | 7,054 | $0.00 | |
| 90647 | 1,926 | 1,925 | $0.00 | |
| 1111F | 6,324 | 6,039 | $0.00 | |
| 87807 | 661 | 659 | $0.00 | |
| 90651 | 1,440 | 1,440 | $0.00 | |
| 90723 | 1,726 | 1,722 | $0.00 | |
| 90716 | 90 | 90 | $0.00 | |
| 3074F | 5,266 | 5,058 | $0.00 | |
| 90686 | 3,383 | 3,383 | $0.00 | |
| D1351 | 5,926 | 1,890 | $0.00 | |
| 90677 | 222 | 222 | $0.00 | |
| 90674 | 1,497 | 1,497 | $0.00 | |
| 87426 | 533 | 532 | $0.00 | |
| 99386 | 14 | 14 | $0.00 | |
| 3075F | 12 | 12 | $0.00 | |
| 4010F | 44 | 43 | $0.00 | |
| 90620 | 285 | 285 | $0.00 | |
| 3079F | 675 | 671 | $0.00 | |
| 99202 | 160 | 160 | $0.00 | |
| V2784 | Lens polycarb or equal | 961 | 960 | $0.00 |
| 90696 | 214 | 214 | $0.00 | |
| 96372 | 38 | 38 | $0.00 | |
| 99385 | 12 | 12 | $0.00 | |
| 1126F | 12 | 12 | $0.00 | |
| 1125F | 21 | 21 | $0.00 |