NPI: 1982882742 · COON RAPIDS, MN 55433 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 352 | $12K |
| 2019 | 348 | $5K |
| 2020 | 78 | $990.00 |
| 2021 | 79 | $5K |
| 2022 | 200 | $3K |
| 2023 | 325 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S4993 | Contraceptive pills for bc | 131 | 95 | $13K |
| A4267 | Male condom | 718 | 636 | $9K |
| 87491 | 108 | 89 | $2K | |
| 99214 | 19 | 16 | $2K | |
| 99215 | Prolong outpt/office vis | 12 | 12 | $1K |
| 99203 | 15 | 12 | $1K | |
| 99401 | 34 | 31 | $894.96 | |
| 87591 | 72 | 52 | $726.95 | |
| 86780 | 39 | 29 | $276.95 | |
| 87800 | 22 | 16 | $271.73 | |
| 81025 | 56 | 52 | $250.00 | |
| G0433 | Elisa hiv-1/hiv-2 screen | 13 | 12 | $219.36 |
| 86703 | 38 | 28 | $175.52 | |
| 36416 | 66 | 53 | $173.83 | |
| J8499 | Oral prescrip drug non chemo | 39 | 29 | $83.61 |