NPI: 1992040257 · WAUKESHA, WI 53188 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 31 | $0.00 |
| 2021 | 164 | $537.78 |
| 2023 | 1,280 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 306 | 192 | $16K |
| 99489 | Ccm add 20min | 132 | 127 | $3K |
| 99487 | Ccm add 20min | 151 | 144 | $3K |
| 99349 | 54 | 40 | $2K | |
| 99345 | Prolong home eval add 15m | 21 | 20 | $2K |
| 99215 | Prolong outpt/office vis | 36 | 25 | $1K |
| 99458 | 82 | 81 | $1K | |
| 99484 | 121 | 113 | $1K | |
| 99457 | 84 | 82 | $753.58 | |
| 99454 | 81 | 78 | $634.65 | |
| 99348 | 18 | 13 | $269.37 | |
| 99212 | 20 | 14 | $256.08 | |
| 96372 | 98 | 89 | $219.96 | |
| G2023 | Specimen collect covid-19 | 39 | 27 | $211.14 |
| 99000 | 35 | 25 | $70.56 | |
| J3420 | Vitamin b12 injection | 83 | 71 | $67.61 |
| 36415 | 13 | 13 | $1.71 | |
| 99072 | 35 | 25 | $0.00 | |
| 98960 | 51 | 38 | $0.00 | |
| 99080 | 15 | 12 | $0.00 |