NPI: 1811952070 · FORT WAYNE, IN 46805 · 207L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18,072 | $411K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,112 | 3,025 | $131K | |
| 99214 | 2,423 | 1,678 | $82K | |
| 99391 | 658 | 447 | $48K | |
| 99392 | 574 | 380 | $46K | |
| 99232 | 2,067 | 447 | $21K | |
| 99393 | 139 | 129 | $12K | |
| 99394 | 118 | 84 | $10K | |
| 99212 | 377 | 274 | $9K | |
| 90471 | 1,527 | 868 | $8K | |
| 90472 | 938 | 515 | $8K | |
| 99222 | 401 | 249 | $6K | |
| 99238 | 562 | 344 | $6K | |
| 90870 | 301 | 67 | $5K | |
| 99231 | 1,098 | 181 | $5K | |
| 87804 | 263 | 143 | $4K | |
| 99460 | 39 | 39 | $3K | |
| 87880 | 103 | 95 | $2K | |
| 90792 | 55 | 29 | $1K | |
| 81003 | 561 | 405 | $929.29 | |
| 99215 | Prolong outpt/office vis | 40 | 39 | $678.83 |
| 90688 | 85 | 50 | $478.96 | |
| 90474 | 87 | 46 | $402.72 | |
| 93010 | 334 | 173 | $359.26 | |
| 99211 | 15 | 12 | $205.09 | |
| 93000 | 153 | 74 | $200.95 | |
| 90670 | 144 | 87 | $188.26 | |
| J1050 | Medroxyprogesterone acetate | 32 | 21 | $156.00 |
| 93306 | 22 | 13 | $140.94 | |
| 99203 | 176 | 149 | $138.08 | |
| 99395 | 61 | 48 | $110.60 | |
| 90680 | 20 | 15 | $86.25 | |
| 90723 | 31 | 21 | $74.60 | |
| 90633 | 62 | 48 | $68.33 | |
| 96372 | 33 | 22 | $35.22 | |
| 99173 | 14 | 12 | $15.90 | |
| 59425 | 78 | 47 | $10.00 | |
| 83036 | 84 | 82 | $0.00 | |
| 90698 | 22 | 12 | $0.00 | |
| 90686 | 19 | 17 | $0.00 | |
| 99204 | 105 | 93 | $0.00 | |
| 99221 | 86 | 53 | $0.00 | |
| 90648 | 27 | 20 | $0.00 | |
| 99396 | 26 | 25 | $0.00 |