NPI: 1841315165 · MAPLE GROVE, MN 55369 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24,468 | $181K |
| 2019 | 15,103 | $292K |
| 2020 | 11,753 | $227K |
| 2021 | 3,443 | $47K |
| 2022 | 782 | $29K |
| 2023 | 2,965 | $40K |
| 2024 | 1,327 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,678 | 4,146 | $161K | |
| 99213 | 5,083 | 4,574 | $153K | |
| S0302 | Completed epsdt | 1,491 | 1,447 | $72K |
| 97803 | 1,125 | 991 | $44K | |
| 84443 | 4,012 | 3,864 | $40K | |
| 80061 | 4,068 | 3,966 | $33K | |
| 99392 | 493 | 480 | $30K | |
| 80053 | 4,461 | 4,187 | $27K | |
| 88305 | 272 | 253 | $24K | |
| 36415 | 9,728 | 8,481 | $24K | |
| 90471 | 2,368 | 2,275 | $23K | |
| 77067 | 274 | 261 | $22K | |
| 80048 | 4,146 | 3,700 | $17K | |
| 99391 | 325 | 309 | $17K | |
| 0002A | 1,254 | 1,000 | $15K | |
| 0001A | 1,361 | 1,059 | $13K | |
| 99204 | 342 | 333 | $13K | |
| 99203 | 504 | 487 | $10K | |
| 74177 | 45 | 44 | $10K | |
| 90472 | 820 | 796 | $10K | |
| 85025 | 1,646 | 1,396 | $8K | |
| U0003 | Cov-19 amp prb hgh thruput | 63 | 59 | $6K |
| 76642 | 111 | 104 | $6K | |
| 99393 | 89 | 89 | $6K | |
| X5622 | 1,026 | 1,000 | $6K | |
| 84439 | 855 | 809 | $5K | |
| 97802 | 50 | 50 | $4K | |
| 82728 | 427 | 408 | $3K | |
| 99188 | 693 | 687 | $3K | |
| 85027 | 727 | 609 | $3K | |
| 96110 | 588 | 576 | $3K | |
| 90686 | 922 | 900 | $3K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 227 | 222 | $2K |
| G0279 | Tomosynthesis, mammo | 71 | 67 | $2K |
| 82043 | 790 | 780 | $2K | |
| 99202 | 86 | 85 | $2K | |
| 83036 | 400 | 393 | $2K | |
| 96127 | 473 | 459 | $2K | |
| 92551 | 330 | 326 | $2K | |
| 77066 | Tomosynthesis, mammo | 16 | 15 | $2K |
| 80306 | 115 | 93 | $2K | |
| 82306 | 107 | 101 | $2K | |
| 99394 | 14 | 14 | $1K | |
| 99215 | Prolong outpt/office vis | 116 | 114 | $910.87 |
| 80076 | 209 | 200 | $745.86 | |
| 80050 | 25 | 24 | $649.20 | |
| 81025 | 73 | 69 | $637.44 | |
| 99000 | 131 | 125 | $563.80 | |
| 99212 | 87 | 77 | $550.25 | |
| 83550 | 111 | 106 | $549.00 | |
| 77063 | 12 | 12 | $504.53 | |
| 90715 | 38 | 38 | $478.40 | |
| 85610 | 228 | 168 | $449.71 | |
| 99442 | 20 | 12 | $429.24 | |
| 83540 | 124 | 120 | $413.64 | |
| 81001 | 284 | 268 | $402.91 | |
| 99173 | 348 | 342 | $353.83 | |
| 99421 | 14 | 14 | $335.34 | |
| G0145 | Scr c/v cyto,thinlayer,rescr | 12 | 12 | $316.37 |
| 92014 | 13 | 12 | $258.36 | |
| 87086 | 45 | 44 | $254.20 | |
| 86850 | 31 | 30 | $252.77 | |
| 90670 | 186 | 181 | $206.17 | |
| 82947 | 54 | 54 | $190.09 | |
| 86780 | 12 | 12 | $166.37 | |
| 87340 | 13 | 13 | $141.44 | |
| 85018 | 97 | 95 | $140.20 | |
| 82950 | 26 | 26 | $130.52 | |
| 80197 | 21 | 12 | $130.07 | |
| 90734 | 14 | 14 | $109.78 | |
| 86900 | 33 | 31 | $99.09 | |
| 86140 | 59 | 58 | $99.05 | |
| 86901 | 32 | 31 | $88.76 | |
| 84460 | 66 | 65 | $79.09 | |
| 96161 | 48 | 45 | $73.79 | |
| 82565 | 65 | 63 | $64.53 | |
| 92015 | 59 | 58 | $39.75 | |
| 85652 | 57 | 57 | $31.72 | |
| 87389 | 12 | 12 | $31.48 | |
| 84703 | 14 | 13 | $9.83 | |
| 90698 | 104 | 100 | $0.00 | |
| 90651 | 25 | 25 | $0.00 | |
| 36416 | 15 | 13 | $0.00 | |
| 96372 | 22 | 12 | $0.00 | |
| Q9966 | Locm 200-299mg/ml iodine,1ml | 26 | 15 | $0.00 |
| 87804 | 15 | 12 | $0.00 | |
| 90685 | 77 | 76 | $0.00 | |
| 90681 | 13 | 13 | $0.00 | |
| 91300 | 62 | 41 | $0.00 | |
| 96413 | 17 | 12 | $0.00 |