NPI: 1821155490 · OKLAHOMA CITY, OK 73109 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18,573 | $692K |
| 2019 | 20,742 | $872K |
| 2020 | 15,870 | $684K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 14,034 | 11,203 | $889K | |
| 99214 | 4,339 | 4,076 | $406K | |
| 90471 | 5,257 | 5,097 | $223K | |
| 99392 | 1,711 | 1,710 | $157K | |
| 99393 | 1,608 | 1,608 | $148K | |
| 92587 | 5,729 | 5,701 | $109K | |
| 99391 | 1,066 | 1,065 | $92K | |
| 99394 | 849 | 849 | $86K | |
| 99050 | 2,482 | 2,289 | $45K | |
| 94640 | 2,808 | 2,657 | $42K | |
| 90472 | 798 | 798 | $16K | |
| 87804 | 389 | 386 | $11K | |
| 99381 | 80 | 80 | $8K | |
| 87880 | 362 | 361 | $5K | |
| 99203 | 51 | 51 | $5K | |
| 96372 | 172 | 155 | $4K | |
| J0696 | Ceftriaxone sodium injection | 881 | 821 | $2K |
| 81025 | 174 | 168 | $1K | |
| 90670 | 1,212 | 1,212 | $0.00 | |
| 90707 | 691 | 691 | $0.00 | |
| 90633 | 694 | 694 | $0.00 | |
| 90713 | 1,273 | 1,273 | $0.00 | |
| 90715 | 113 | 113 | $0.00 | |
| 90700 | 1,589 | 1,589 | $0.00 | |
| 96160 | 1,694 | 1,692 | $0.00 | |
| 90649 | 129 | 129 | $0.00 | |
| 90734 | 431 | 431 | $0.00 | |
| 90685 | 33 | 33 | $0.00 | |
| 90680 | 841 | 841 | $0.00 | |
| 90647 | 1,206 | 1,206 | $0.00 | |
| 90716 | 692 | 692 | $0.00 | |
| 90686 | 317 | 317 | $0.00 | |
| 90744 | 604 | 604 | $0.00 | |
| 90651 | 293 | 293 | $0.00 | |
| 90656 | 583 | 583 | $0.00 |