NPI: 1134257249 · SANTA FE, NM 87505 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 64,205 | $1.69M |
| 2019 | 72,878 | $2.04M |
| 2020 | 180,765 | $5.50M |
| 2021 | 79,420 | $2.40M |
| 2022 | 55,869 | $1.44M |
| 2023 | 57,768 | $1.74M |
| 2024 | 28,792 | $1.06M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0002 | Covid-19 lab test non-cdc | 42,023 | 35,336 | $1.94M |
| 87801 | 27,068 | 22,574 | $1.91M | |
| G2023 | Specimen collect covid-19 | 82,315 | 71,960 | $1.85M |
| U0001 | 2019-ncov diagnostic p | 35,642 | 33,257 | $1.17M |
| 90471 | 53,143 | 52,401 | $1.09M | |
| 90472 | 21,470 | 20,595 | $834K | |
| J7307 | Etonogestrel implant system | 902 | 894 | $807K |
| J1050 | Medroxyprogesterone acetate | 8,399 | 8,274 | $740K |
| 99211 | 32,490 | 25,348 | $592K | |
| 99212 | 15,504 | 13,689 | $563K | |
| S4993 | Contraceptive pills for bc | 6,001 | 5,659 | $508K |
| 99213 | 7,470 | 7,039 | $478K | |
| 99203 | 3,619 | 3,583 | $354K | |
| 0002A | 6,295 | 6,288 | $226K | |
| 0001A | 5,878 | 5,855 | $197K | |
| 87389 | 7,818 | 7,625 | $179K | |
| 99202 | 2,679 | 2,648 | $174K | |
| U0003 | Cov-19 amp prb hgh thruput | 4,286 | 4,088 | $133K |
| 90632 | 3,036 | 3,017 | $123K | |
| 0003A | 4,052 | 4,050 | $119K | |
| 81025 | 13,586 | 12,924 | $113K | |
| 90651 | 7,165 | 7,130 | $100K | |
| 90686 | 19,517 | 19,474 | $99K | |
| 90716 | 3,270 | 3,255 | $94K | |
| 86780 | 6,374 | 6,187 | $90K | |
| 11981 | 425 | 422 | $81K | |
| 86703 | 5,571 | 5,469 | $77K | |
| J8499 | Oral prescrip drug non chemo | 1,687 | 1,605 | $71K |
| 90739 | 484 | 477 | $67K | |
| 87538 | 1,778 | 1,740 | $61K | |
| 87661 | 1,564 | 1,527 | $58K | |
| 87491 | 1,592 | 1,551 | $56K | |
| 87591 | 1,563 | 1,525 | $56K | |
| 80305 | 4,297 | 3,047 | $52K | |
| 86593 | 11,759 | 11,420 | $49K | |
| 88142 | 2,465 | 2,400 | $48K | |
| 90715 | 8,369 | 8,316 | $44K | |
| 0124A | 1,079 | 1,052 | $38K | |
| 36415 | 8,384 | 8,136 | $36K | |
| 90707 | 2,015 | 1,994 | $35K | |
| 0012A | 985 | 984 | $35K | |
| 0011A | 1,066 | 1,063 | $34K | |
| 86803 | 1,741 | 1,701 | $27K | |
| 99204 | 128 | 127 | $24K | |
| 90710 | 2,987 | 2,955 | $23K | |
| 87210 | 4,371 | 4,251 | $23K | |
| 91322 | 320 | 314 | $20K | |
| 99201 | 706 | 704 | $19K | |
| 0031A | 562 | 550 | $19K | |
| 81001 | 4,633 | 4,559 | $17K | |
| 0071A | 455 | 454 | $17K | |
| 0072A | 391 | 389 | $15K | |
| 90480 | 525 | 521 | $14K | |
| 11982 | 81 | 79 | $14K | |
| 0013A | 483 | 483 | $14K | |
| 90746 | 172 | 164 | $13K | |
| 86704 | 1,034 | 1,023 | $12K | |
| 86480 | 205 | 201 | $12K | |
| 86705 | 1,034 | 1,021 | $12K | |
| 86706 | 1,053 | 1,040 | $11K | |
| 0051A | 312 | 307 | $10K | |
| 87340 | 1,002 | 990 | $10K | |
| 87536 | 116 | 114 | $9K | |
| 91320 | 97 | 97 | $8K | |
| 90473 | 357 | 357 | $7K | |
| 90670 | 1,761 | 1,759 | $7K | |
| 80053 | 689 | 656 | $7K | |
| A4267 | Male condom | 1,635 | 1,568 | $7K |
| 90619 | 2,804 | 2,788 | $7K | |
| 87562 | 186 | 184 | $7K | |
| 99214 | 64 | 63 | $6K | |
| 90713 | 1,409 | 1,402 | $5K | |
| J7303 | Contraceptive vaginal ring | 42 | 41 | $5K |
| 90636 | 42 | 42 | $5K | |
| 0154A | 121 | 121 | $5K | |
| 0134A | 140 | 139 | $5K | |
| 90714 | 254 | 252 | $4K | |
| 0073A | 115 | 115 | $4K | |
| 99442 | 41 | 35 | $4K | |
| 85025 | 493 | 470 | $4K | |
| 90633 | 4,286 | 4,269 | $4K | |
| 90734 | 5,654 | 5,632 | $4K | |
| 87806 | 120 | 116 | $4K | |
| 87624 | 82 | 80 | $3K | |
| 90696 | 1,992 | 1,987 | $3K | |
| 81002 | 1,103 | 1,075 | $3K | |
| 98968 | 73 | 73 | $2K | |
| 87480 | 99 | 96 | $2K | |
| 87205 | 469 | 459 | $2K | |
| 87510 | 99 | 96 | $2K | |
| 91321 | 142 | 142 | $2K | |
| 0081A | 51 | 51 | $2K | |
| 87660 | 96 | 93 | $2K | |
| 0053A | 44 | 44 | $2K | |
| T1502 | Medication admin visit | 1,059 | 373 | $2K |
| 99441 | 30 | 27 | $2K | |
| 99423 | 16 | 15 | $2K | |
| 90671 | 35 | 35 | $1K | |
| 91319 | 28 | 28 | $1K | |
| 91318 | 27 | 27 | $941.39 | |
| 90744 | 1,142 | 1,140 | $833.12 | |
| 90700 | 636 | 634 | $675.38 | |
| Q3014 | Telehealth facility fee | 27 | 25 | $561.75 |
| 0052A | 14 | 14 | $560.00 | |
| 87535 | 769 | 748 | $505.32 | |
| 0083A | 12 | 12 | $480.00 | |
| 90698 | 465 | 456 | $362.15 | |
| 98966 | 25 | 25 | $299.06 | |
| 90677 | 297 | 295 | $291.57 | |
| 80048 | 29 | 29 | $253.97 | |
| 90680 | 339 | 338 | $252.78 | |
| 90620 | 45 | 45 | $177.74 | |
| 90674 | 7,811 | 7,804 | $123.13 | |
| 83986 | 31 | 31 | $110.67 | |
| 90723 | 476 | 474 | $95.01 | |
| 85660 | 12 | 12 | $71.94 | |
| 82120 | 14 | 14 | $71.68 | |
| 90672 | 292 | 292 | $54.08 | |
| 90756 | 108 | 108 | $53.32 | |
| 91307 | 207 | 206 | $40.00 | |
| 90648 | 158 | 158 | $24.65 | |
| 90688 | 694 | 694 | $1.91 | |
| 90649 | 136 | 136 | $1.23 | |
| 90647 | 116 | 116 | $0.87 | |
| 90697 | 67 | 67 | $0.28 | |
| 90685 | 12 | 12 | $0.07 | |
| 90621 | 13 | 13 | $0.01 | |
| 91305 | 280 | 274 | $0.00 | |
| 91301 | 972 | 967 | $0.00 | |
| 91303 | 150 | 138 | $0.00 | |
| 91300 | 920 | 878 | $0.00 | |
| 91312 | 163 | 162 | $0.00 | |
| 99001 | 35 | 34 | $0.00 | |
| 99071 | 66 | 63 | $0.00 | |
| 91313 | 13 | 13 | $0.00 |