NPI: 1922136480 · OKLAHOMA CITY, OK 73112 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 770 | $38K |
| 2019 | 577 | $29K |
| 2020 | 308 | $20K |
| 2021 | 823 | $64K |
| 2022 | 1,258 | $96K |
| 2023 | 999 | $68K |
| 2024 | 482 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,737 | 2,482 | $207K | |
| 99213 | 1,317 | 1,228 | $99K | |
| 99204 | 89 | 89 | $13K | |
| 93922 | 178 | 164 | $13K | |
| 87502 | 80 | 72 | $7K | |
| 99212 | 115 | 113 | $6K | |
| 87635 | 80 | 72 | $4K | |
| 99203 | 30 | 30 | $3K | |
| 36415 | 380 | 372 | $2K | |
| 99211 | 39 | 35 | $739.73 | |
| 87804 | 24 | 20 | $368.00 | |
| 96120 | 12 | 12 | $254.96 | |
| 90688 | 13 | 13 | $231.92 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $30.42 |
| 96160 | 110 | 110 | $0.00 |