NPI: 1144388182 · COLORADO SPRINGS, CO 80907 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,929 | $122K |
| 2019 | 4,737 | $97K |
| 2020 | 1,106 | $18K |
| 2021 | 1,925 | $37K |
| 2022 | 2,639 | $55K |
| 2023 | 9,511 | $321K |
| 2024 | 6,118 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 9,077 | 8,356 | $153K | |
| 90472 | 5,459 | 4,974 | $115K | |
| 90707 | 1,147 | 1,050 | $76K | |
| 87491 | 2,875 | 1,852 | $68K | |
| 87591 | 2,876 | 1,851 | $68K | |
| 90716 | 526 | 472 | $53K | |
| 90715 | 1,248 | 1,152 | $37K | |
| 90746 | 599 | 584 | $26K | |
| 99214 | 136 | 133 | $15K | |
| 91322 | 155 | 118 | $15K | |
| 99204 | 85 | 83 | $15K | |
| 99385 | 145 | 124 | $13K | |
| 90686 | 1,790 | 1,691 | $12K | |
| 87389 | 696 | 547 | $12K | |
| 99401 | 430 | 337 | $12K | |
| 90480 | 495 | 435 | $11K | |
| 90651 | 179 | 168 | $8K | |
| 90713 | 303 | 238 | $6K | |
| 90714 | 166 | 161 | $5K | |
| 86480 | 55 | 52 | $4K | |
| 90688 | 254 | 219 | $4K | |
| 81025 | 550 | 451 | $4K | |
| 86592 | 1,062 | 852 | $3K | |
| 91320 | 32 | 32 | $3K | |
| 90670 | 240 | 219 | $3K | |
| 90734 | 94 | 93 | $3K | |
| 99203 | 46 | 27 | $3K | |
| 90656 | 142 | 142 | $2K | |
| 99395 | 16 | 13 | $1K | |
| 99213 | 27 | 17 | $886.80 | |
| 99212 | 15 | 15 | $717.30 | |
| 90674 | 163 | 159 | $466.44 | |
| 90658 | 30 | 29 | $453.56 | |
| 87210 | 55 | 52 | $250.02 | |
| J1050 | Medroxyprogesterone acetate | 12 | 12 | $120.08 |
| 90633 | 223 | 215 | $115.62 | |
| S4993 | Contraceptive pills for bc | 12 | 12 | $80.51 |
| 90710 | 75 | 72 | $0.00 | |
| 90685 | 65 | 64 | $0.00 | |
| 0121A | 27 | 27 | $0.00 | |
| 91300 | 35 | 33 | $0.00 | |
| 91312 | 73 | 72 | $0.00 | |
| Q2035 | Afluria vacc, 3 yrs & >, im | 116 | 116 | $0.00 |
| 90743 | 14 | 14 | $0.00 | |
| 90696 | 24 | 22 | $0.00 | |
| 0011A | 14 | 13 | $0.00 | |
| 90723 | 32 | 29 | $0.00 | |
| 90647 | 42 | 38 | $0.00 | |
| 0001A | 33 | 31 | $0.00 |