NPI: 1154861995 · PUEBLO, CO 81004 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,332 | $351K |
| 2019 | 2,120 | $131K |
| 2020 | 2,555 | $195K |
| 2021 | 5,418 | $405K |
| 2022 | 282 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,255 | 3,983 | $548K | |
| 99215 | Prolong outpt/office vis | 2,922 | 2,376 | $343K |
| 97530 | 1,576 | 906 | $47K | |
| 99205 | Prolong outpt/office vis | 295 | 275 | $45K |
| 99213 | 472 | 396 | $28K | |
| 99406 | 2,411 | 1,913 | $27K | |
| 20553 | 415 | 250 | $18K | |
| 99395 | 263 | 227 | $11K | |
| 99396 | 266 | 237 | $10K | |
| 96372 | 617 | 488 | $8K | |
| 99204 | 21 | 21 | $3K | |
| 99386 | 47 | 45 | $2K | |
| 99385 | 41 | 34 | $2K | |
| 20552 | 37 | 27 | $2K | |
| 99394 | 13 | 13 | $1K | |
| 99000 | 29 | 26 | $0.00 | |
| 82962 | 27 | 25 | $0.00 |