NPI: 1831193531 · FORT SMITH, AR 72901 · 261QC1500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,793 | $475K |
| 2019 | 19,307 | $506K |
| 2020 | 15,512 | $432K |
| 2021 | 12,529 | $456K |
| 2022 | 10,742 | $405K |
| 2023 | 14,035 | $425K |
| 2024 | 10,798 | $349K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 39,501 | 35,945 | $1.29M | |
| 99214 | 18,489 | 16,746 | $1.04M | |
| 99394 | 2,387 | 2,004 | $113K | |
| 99393 | 2,151 | 1,822 | $101K | |
| 87428 | 1,771 | 1,340 | $88K | |
| 90686 | 6,317 | 5,427 | $70K | |
| 99392 | 1,348 | 1,146 | $61K | |
| 99391 | 878 | 762 | $42K | |
| 87804 | 3,661 | 1,873 | $40K | |
| 85025 | 3,591 | 3,219 | $28K | |
| 87426 | 583 | 464 | $19K | |
| 87880 | 1,295 | 1,170 | $14K | |
| 0002A | 218 | 208 | $12K | |
| 99238 | 378 | 361 | $12K | |
| 80053 | 1,219 | 1,107 | $12K | |
| 0001A | 213 | 193 | $10K | |
| 99233 | Prolong inpt eval add15 m | 260 | 107 | $10K |
| 80061 | 744 | 665 | $9K | |
| 87430 | 763 | 742 | $9K | |
| 83036 | 791 | 715 | $8K | |
| 99232 | 216 | 105 | $7K | |
| 90670 | 563 | 521 | $6K | |
| 90734 | 351 | 280 | $4K | |
| 71046 | 191 | 168 | $3K | |
| 90651 | 296 | 279 | $3K | |
| 36415 | 6,440 | 5,980 | $3K | |
| 90658 | 315 | 293 | $3K | |
| 90656 | 269 | 214 | $2K | |
| 81025 | 349 | 267 | $2K | |
| 87807 | 170 | 169 | $2K | |
| 90723 | 190 | 176 | $2K | |
| 81001 | 471 | 433 | $2K | |
| 99212 | 57 | 54 | $1K | |
| 90715 | 155 | 116 | $1K | |
| 90633 | 126 | 104 | $1K | |
| 90647 | 97 | 93 | $1K | |
| 90677 | 13 | 13 | $982.53 | |
| 90710 | 88 | 74 | $905.52 | |
| 99308 | 57 | 55 | $893.69 | |
| 80048 | 113 | 101 | $831.44 | |
| 83655 | 54 | 52 | $831.28 | |
| 99223 | Prolong inpt eval add15 m | 13 | 12 | $637.01 |
| 87210 | 137 | 108 | $609.60 | |
| G2012 | Brief check in by md/qhp | 85 | 65 | $589.02 |
| 90680 | 51 | 48 | $501.84 | |
| 99231 | 23 | 14 | $483.00 | |
| 90688 | 28 | 25 | $353.62 | |
| 84443 | 30 | 24 | $334.89 | |
| 74018 | 14 | 14 | $270.43 | |
| 90648 | 28 | 25 | $239.00 | |
| 90471 | 1,154 | 1,044 | $198.88 | |
| 90685 | 21 | 14 | $133.84 | |
| 99307 | 13 | 12 | $125.90 | |
| 82947 | 26 | 25 | $125.58 | |
| 99462 | 16 | 14 | $110.37 | |
| 90460 | 477 | 427 | $19.19 | |
| G0008 | Admin influenza virus vac | 17 | 16 | $0.00 |
| Q2036 | Flulaval vacc, 3 yrs & >, im | 110 | 95 | $0.00 |
| 90472 | 334 | 224 | $0.00 |