NPI: 1376159368 · WEST VALLEY CITY, UT 84119 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,409 | $49K |
| 2022 | 2,007 | $68K |
| 2023 | 9,425 | $395K |
| 2024 | 2,192 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,383 | 2,216 | $139K | |
| 99213 | 2,605 | 2,416 | $115K | |
| 99204 | 1,243 | 1,173 | $105K | |
| 59400 | 56 | 55 | $85K | |
| 99203 | 729 | 705 | $46K | |
| 76811 | 171 | 156 | $27K | |
| 76816 | 599 | 530 | $24K | |
| 95004 | 175 | 164 | $9K | |
| 76805 | 114 | 106 | $8K | |
| 95115 | 1,135 | 678 | $7K | |
| 87637 | 32 | 32 | $4K | |
| 76801 | 61 | 53 | $4K | |
| 52000 | 31 | 30 | $3K | |
| 43239 | 24 | 24 | $3K | |
| 95117 | 487 | 343 | $3K | |
| 52356 | 14 | 13 | $2K | |
| 99212 | 88 | 82 | $2K | |
| 95165 | 16 | 13 | $2K | |
| 99202 | 15 | 15 | $2K | |
| 90677 | 67 | 67 | $2K | |
| 76830 | 56 | 54 | $2K | |
| 94010 | 186 | 174 | $2K | |
| 99391 | 73 | 72 | $2K | |
| 96372 | 232 | 199 | $1K | |
| 81003 | 1,179 | 983 | $1K | |
| Q0091 | Obtaining screen pap smear | 132 | 129 | $1K |
| 99215 | Prolong outpt/office vis | 13 | 12 | $1K |
| 90471 | 122 | 121 | $950.84 | |
| 99392 | 40 | 40 | $853.49 | |
| 90460 | 155 | 152 | $766.48 | |
| 99396 | 12 | 12 | $639.09 | |
| 36415 | 197 | 185 | $559.55 | |
| 80061 | 46 | 46 | $555.49 | |
| 90686 | 156 | 155 | $481.79 | |
| 90461 | 74 | 74 | $455.73 | |
| 80050 | 14 | 14 | $448.40 | |
| 81000 | 292 | 249 | $437.17 | |
| 99395 | 15 | 15 | $428.55 | |
| 87880 | 41 | 39 | $416.36 | |
| 83036 | 56 | 56 | $413.92 | |
| 94060 | 26 | 26 | $394.29 | |
| 95012 | 47 | 41 | $377.99 | |
| 80053 | 57 | 53 | $366.77 | |
| 81001 | 284 | 235 | $365.93 | |
| 96127 | 186 | 166 | $353.68 | |
| 87811 | 16 | 14 | $347.60 | |
| 84443 | 20 | 19 | $311.49 | |
| 99459 | 28 | 26 | $300.94 | |
| 94762 | 28 | 25 | $265.91 | |
| 51798 | 190 | 184 | $249.88 | |
| 87804 | 42 | 22 | $227.84 | |
| 92014 | 13 | 13 | $186.46 | |
| 94729 | 13 | 13 | $181.45 | |
| 77067 | 15 | 15 | $169.97 | |
| 85025 | 42 | 40 | $169.75 | |
| 94726 | 13 | 13 | $155.35 | |
| 90715 | 12 | 12 | $151.88 | |
| G2211 | Complex e/m visit add on | 28 | 27 | $99.04 |
| 99393 | 14 | 14 | $77.35 | |
| A4617 | Mouth piece | 66 | 63 | $69.48 |
| 90472 | 15 | 15 | $62.15 | |
| 92015 | 20 | 20 | $54.96 | |
| 81025 | 12 | 12 | $52.83 | |
| 87081 | 14 | 14 | $46.01 | |
| J3301 | Triamcinolone acet inj nos | 14 | 12 | $36.98 |
| 99024 | 418 | 374 | $0.01 | |
| 90723 | 53 | 53 | $0.00 | |
| 77063 | 15 | 15 | $0.00 | |
| 94760 | 21 | 20 | $0.00 | |
| 90680 | 49 | 49 | $0.00 | |
| 90648 | 58 | 58 | $0.00 | |
| 99173 | 68 | 68 | $0.00 |