NPI: 1922057504 · SEDALIA, MO 65301 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,657 | $199K |
| 2019 | 3,340 | $174K |
| 2020 | 5,088 | $249K |
| 2021 | 11,162 | $704K |
| 2022 | 19,225 | $1.19M |
| 2023 | 25,343 | $1.84M |
| 2024 | 21,932 | $1.51M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 22,326 | 20,821 | $2.28M | |
| 99213 | 31,962 | 29,602 | $2.17M | |
| 90834 | 6,291 | 4,687 | $480K | |
| 90832 | 3,750 | 2,412 | $190K | |
| 99393 | 988 | 975 | $73K | |
| Q3014 | Telehealth facility fee | 3,892 | 3,741 | $64K |
| 92014 | 787 | 783 | $64K | |
| 99394 | 841 | 829 | $61K | |
| 87804 | 3,508 | 2,016 | $54K | |
| G0467 | Fqhc visit, estab pt | 1,896 | 1,740 | $49K |
| V2020 | Vision svcs frames purchases | 1,063 | 1,009 | $44K |
| 87635 | 927 | 882 | $42K | |
| 99392 | 516 | 511 | $41K | |
| 87880 | 2,738 | 2,646 | $38K | |
| 90791 | 183 | 179 | $25K | |
| 99203 | 255 | 249 | $23K | |
| 83036 | 1,159 | 1,114 | $23K | |
| 99391 | 215 | 210 | $17K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 956 | 540 | $16K |
| 99204 | 95 | 92 | $16K | |
| 92015 | 1,406 | 1,389 | $15K | |
| 99215 | Prolong outpt/office vis | 77 | 71 | $14K |
| 87811 | 347 | 343 | $10K | |
| V2784 | Lens polycarb or equal | 331 | 167 | $7K |
| 92004 | 55 | 54 | $5K | |
| 99212 | 106 | 100 | $5K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 111 | 56 | $4K |
| 90792 | 27 | 27 | $4K | |
| 87807 | 336 | 324 | $4K | |
| 0001A | 74 | 72 | $3K | |
| 0002A | 67 | 66 | $3K | |
| 83655 | 212 | 208 | $2K | |
| 82962 | 132 | 125 | $2K | |
| 99382 | 27 | 27 | $2K | |
| 0072A | 35 | 32 | $2K | |
| 99385 | 17 | 15 | $1K | |
| 85018 | 331 | 326 | $698.18 | |
| 0003A | 15 | 15 | $631.12 | |
| 81003 | 122 | 119 | $622.96 | |
| 0011A | 12 | 12 | $495.88 | |
| 0031A | 12 | 12 | $450.80 | |
| 86703 | 19 | 17 | $423.14 | |
| 0124A | 17 | 14 | $320.86 | |
| 86580 | 19 | 16 | $201.01 | |
| V2100 | Lens spher single plano 4.00 | 17 | 13 | $174.95 |
| 82465 | 26 | 25 | $87.00 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 21 | 14 | $35.59 |
| 3008F | 268 | 222 | $0.01 | |
| 36415 | 128 | 116 | $0.00 | |
| 91301 | 28 | 28 | $0.00 | |
| 3725F | 1,004 | 875 | $0.00 |