NPI: 1477676930 · SOUTH JORDAN, UT 84095 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,218 | $545K |
| 2019 | 14,695 | $644K |
| 2020 | 12,287 | $484K |
| 2021 | 20,284 | $467K |
| 2022 | 26,006 | $458K |
| 2023 | 13,216 | $217K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 17,364 | 14,935 | $1.39M | |
| 99213 | 6,869 | 5,643 | $240K | |
| 90834 | 1,394 | 879 | $206K | |
| 99232 | 6,973 | 2,817 | $169K | |
| 99233 | Prolong inpt eval add15 m | 3,065 | 1,301 | $125K |
| 99291 | 354 | 125 | $61K | |
| 93306 | 2,000 | 1,616 | $56K | |
| 99223 | Prolong inpt eval add15 m | 586 | 520 | $54K |
| 99391 | 680 | 592 | $50K | |
| 99392 | 505 | 456 | $41K | |
| 99222 | 446 | 396 | $39K | |
| 99238 | 1,053 | 958 | $38K | |
| 99203 | 881 | 810 | $38K | |
| 11042 | 1,151 | 523 | $34K | |
| 90837 | 233 | 126 | $29K | |
| 90832 | 316 | 253 | $27K | |
| 99393 | 335 | 328 | $26K | |
| 99204 | 485 | 425 | $24K | |
| 0502F | 3,017 | 1,920 | $21K | |
| 93010 | 4,490 | 3,456 | $17K | |
| 90833 | 1,309 | 968 | $16K | |
| 99231 | 701 | 233 | $13K | |
| 99239 | 274 | 255 | $12K | |
| 99212 | 601 | 346 | $11K | |
| 99215 | Prolong outpt/office vis | 193 | 178 | $11K |
| 90471 | 1,772 | 1,584 | $9K | |
| 90792 | 38 | 36 | $9K | |
| 90472 | 1,361 | 750 | $4K | |
| 99443 | 198 | 161 | $4K | |
| 97803 | 125 | 121 | $3K | |
| 95886 | 168 | 153 | $3K | |
| 95913 | 18 | 14 | $3K | |
| 95813 | 26 | 24 | $3K | |
| 90674 | 169 | 150 | $3K | |
| 97802 | 29 | 27 | $3K | |
| 59425 | 20 | 19 | $2K | |
| 99394 | 26 | 25 | $2K | |
| 43239 | 18 | 14 | $2K | |
| 59426 | 16 | 16 | $2K | |
| 90685 | 134 | 127 | $2K | |
| 85018 | 188 | 174 | $2K | |
| 99205 | Prolong outpt/office vis | 25 | 23 | $1K |
| 80305 | 552 | 500 | $1K | |
| 73564 | 222 | 163 | $879.75 | |
| 76816 | 16 | 13 | $782.68 | |
| 20610 | 93 | 79 | $780.51 | |
| 99024 | 873 | 629 | $727.84 | |
| 87880 | 104 | 94 | $713.97 | |
| 90723 | 300 | 271 | $706.86 | |
| 87804 | 131 | 90 | $670.53 | |
| 90670 | 430 | 385 | $649.09 | |
| J1040 | Methylprednisolone 80 mg inj | 12 | 12 | $551.31 |
| 64615 | 13 | 12 | $478.59 | |
| 90791 | 12 | 12 | $386.33 | |
| 59025 | 31 | 19 | $381.24 | |
| 90686 | 73 | 66 | $362.76 | |
| 81002 | 19 | 14 | $318.14 | |
| 90680 | 186 | 172 | $243.26 | |
| 36416 | 27 | 25 | $170.70 | |
| 3008F | 7,515 | 6,116 | $169.15 | |
| 73110 | 17 | 12 | $149.13 | |
| 0500F | 55 | 52 | $144.01 | |
| J3301 | Triamcinolone acet inj nos | 117 | 106 | $142.54 |
| 96372 | 63 | 57 | $139.32 | |
| 93000 | 98 | 85 | $136.30 | |
| 73140 | 18 | 12 | $111.12 | |
| 93016 | 19 | 16 | $87.96 | |
| 90647 | 245 | 216 | $82.88 | |
| 73502 | 14 | 12 | $79.58 | |
| 93018 | 45 | 27 | $74.02 | |
| 90474 | 118 | 110 | $62.15 | |
| 99292 | 66 | 14 | $50.30 | |
| 98968 | 16 | 13 | $50.25 | |
| 99407 | 39 | 27 | $42.94 | |
| 36415 | 187 | 167 | $25.90 | |
| 83036 | 109 | 99 | $24.48 | |
| 90460 | 26 | 25 | $13.81 | |
| 96127 | 104 | 99 | $13.27 | |
| 97597 | 14 | 12 | $9.53 | |
| 1125F | 728 | 578 | $2.04 | |
| 90461 | 409 | 121 | $0.05 | |
| 1159F | 5,568 | 4,702 | $0.00 | |
| 3078F | 2,802 | 2,262 | $0.00 | |
| 1160F | 6,042 | 5,015 | $0.00 | |
| 0521F | 297 | 237 | $0.00 | |
| 3725F | 358 | 326 | $0.00 | |
| 3077F | 191 | 171 | $0.00 | |
| 90734 | 16 | 12 | $0.00 | |
| J0702 | Betamethasone acet&sod phosp | 25 | 14 | $0.00 |
| 90633 | 21 | 18 | $0.00 | |
| 90655 | 28 | 27 | $0.00 | |
| 95923 | 15 | 14 | $0.00 | |
| 1036F | 4,627 | 3,631 | $0.00 | |
| 1111F | 82 | 64 | $0.00 | |
| 3080F | 180 | 166 | $0.00 | |
| 3074F | 3,922 | 3,167 | $0.00 | |
| 3075F | 281 | 249 | $0.00 | |
| 1126F | 224 | 202 | $0.00 | |
| 1034F | 353 | 306 | $0.00 | |
| 3079F | 730 | 640 | $0.00 | |
| 1157F | 64 | 58 | $0.00 | |
| J1030 | Methylprednisolone 40 mg inj | 16 | 12 | $0.00 |
| 99406 | 19 | 16 | $0.00 | |
| 82962 | 33 | 32 | $0.00 | |
| 90657 | 21 | 18 | $0.00 | |
| 1035F | 25 | 20 | $0.00 | |
| 0503F | 44 | 44 | $0.00 |