JACKSON, TANYA
NPI: 1255445383
· SANDY, UT 84094
· Pediatrics Physician
· NPI assigned 08/18/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
189 |
$10K |
| 2019 |
230 |
$12K |
| 2020 |
149 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
280 |
278 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
109 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
27 |
$942.04 |
| 90686 |
|
118 |
117 |
$282.42 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |