NPI: 1205902376 · GRANTS, NM 87020 · 332900000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,781 | $1.30M |
| 2019 | 14,534 | $1.32M |
| 2020 | 15,694 | $1.85M |
| 2021 | 14,938 | $1.84M |
| 2022 | 13,345 | $1.46M |
| 2023 | 13,120 | $1.41M |
| 2024 | 9,368 | $1.07M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 22,018 | 18,641 | $3.20M | |
| 99214 | 14,568 | 12,690 | $1.96M | |
| H2015 | Comp comm supp svc, 15 min | 8,206 | 2,848 | $1.42M |
| 90832 | 4,131 | 2,613 | $716K | |
| 90837 | 3,189 | 2,093 | $545K | |
| 90834 | 2,726 | 1,927 | $473K | |
| 99441 | 2,671 | 2,304 | $446K | |
| 99212 | 2,018 | 1,609 | $313K | |
| G0467 | Fqhc visit, estab pt | 6,037 | 4,483 | $199K |
| 99442 | 751 | 673 | $125K | |
| 99392 | 630 | 625 | $108K | |
| 90853 | 621 | 260 | $105K | |
| 90791 | 606 | 586 | $101K | |
| 99393 | 409 | 401 | $71K | |
| Q3014 | Telehealth facility fee | 1,547 | 994 | $63K |
| 99394 | 349 | 342 | $60K | |
| 99391 | 257 | 245 | $42K | |
| 99202 | 222 | 218 | $33K | |
| G2025 | Dis site tele svcs rhc/fqhc | 528 | 398 | $32K |
| 99203 | 140 | 139 | $21K | |
| 0011A | 158 | 155 | $19K | |
| 91300 | 124 | 107 | $19K | |
| 99443 | 106 | 98 | $18K | |
| 0012A | 137 | 136 | $17K | |
| 91301 | 108 | 106 | $16K | |
| 99408 | 89 | 76 | $16K | |
| 99215 | Prolong outpt/office vis | 99 | 89 | $13K |
| 0071A | 94 | 91 | $13K | |
| 0072A | 81 | 78 | $11K | |
| H0050 | Alcohol/drug service 15 min | 69 | 64 | $11K |
| 0064A | 75 | 74 | $11K | |
| 90847 | 55 | 39 | $9K | |
| 99204 | 53 | 51 | $8K | |
| 99396 | 41 | 41 | $7K | |
| 99395 | 25 | 24 | $4K | |
| 0144A | 24 | 24 | $4K | |
| 91307 | 27 | 25 | $4K | |
| 0013A | 21 | 19 | $3K | |
| 0001A | 80 | 75 | $3K | |
| 36415 | 3,785 | 3,599 | $3K | |
| 90792 | 13 | 13 | $2K | |
| 84443 | 1,431 | 1,424 | $1K | |
| 90471 | 2,111 | 2,099 | $1K | |
| 0002A | 67 | 64 | $1K | |
| G0480 | Drug test def 1-7 classes | 363 | 358 | $938.95 |
| 90472 | 738 | 729 | $737.61 | |
| 83036 | 2,249 | 2,234 | $666.64 | |
| 87880 | 431 | 429 | $470.96 | |
| 85025 | 1,389 | 1,383 | $403.56 | |
| 81002 | 706 | 652 | $264.94 | |
| 90460 | 246 | 235 | $201.78 | |
| 87428 | 603 | 593 | $150.89 | |
| 90688 | 335 | 334 | $146.71 | |
| 80053 | 2,142 | 2,134 | $56.24 | |
| G0008 | Admin influenza virus vac | 51 | 50 | $53.78 |
| 90686 | 1,026 | 1,022 | $35.56 | |
| 90715 | 143 | 142 | $28.32 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 34 | 34 | $17.69 |
| 90670 | 99 | 99 | $14.54 | |
| 87635 | 102 | 99 | $9.59 | |
| 86803 | 82 | 82 | $0.00 | |
| 87086 | 92 | 87 | $0.00 | |
| 87591 | 194 | 185 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 12 | 12 | $0.00 |
| 90651 | 80 | 80 | $0.00 | |
| 82306 | 15 | 15 | $0.00 | |
| 88142 | 48 | 40 | $0.00 | |
| 82607 | 24 | 24 | $0.00 | |
| 82043 | 58 | 58 | $0.00 | |
| 85027 | 41 | 41 | $0.00 | |
| 80061 | 1,261 | 1,261 | $0.00 | |
| 86703 | 233 | 233 | $0.00 | |
| 82274 | 57 | 57 | $0.00 | |
| 81025 | 50 | 50 | $0.00 | |
| 83540 | 12 | 12 | $0.00 | |
| 87491 | 187 | 185 | $0.00 | |
| 82570 | 59 | 58 | $0.00 | |
| 90734 | 49 | 49 | $0.00 | |
| 90633 | 44 | 44 | $0.00 | |
| 90461 | 28 | 27 | $0.00 |