NPI: 1548267420 · OGDEN, UT 84401 · 261QC1500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,010 | $420K |
| 2019 | 9,879 | $432K |
| 2020 | 11,219 | $507K |
| 2021 | 32,038 | $1.09M |
| 2022 | 26,820 | $1.02M |
| 2023 | 18,619 | $495K |
| 2024 | 20,045 | $515K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 31,128 | 27,742 | $2.05M | |
| 99214 | 7,615 | 7,200 | $703K | |
| 99391 | 4,441 | 4,083 | $388K | |
| 99392 | 2,903 | 2,884 | $245K | |
| 99393 | 2,352 | 2,340 | $175K | |
| 99394 | 1,710 | 1,702 | $129K | |
| 99212 | 2,742 | 2,590 | $110K | |
| 87635 | 2,527 | 2,375 | $106K | |
| 87428 | 1,536 | 1,476 | $86K | |
| 91300 | 3,054 | 1,837 | $52K | |
| 83036 | 3,835 | 3,693 | $47K | |
| 85018 | 6,249 | 6,173 | $45K | |
| 90471 | 15,032 | 14,680 | $38K | |
| 99460 | 114 | 112 | $37K | |
| 90688 | 4,764 | 4,656 | $36K | |
| D0140 | 245 | 236 | $27K | |
| 81000 | 1,867 | 1,742 | $21K | |
| 99203 | 282 | 270 | $20K | |
| 87880 | 1,024 | 985 | $19K | |
| 91307 | 821 | 512 | $16K | |
| 81025 | 1,069 | 1,003 | $14K | |
| 90715 | 733 | 718 | $8K | |
| 90472 | 6,843 | 6,682 | $8K | |
| 90677 | 867 | 859 | $8K | |
| 83655 | 2,488 | 2,468 | $7K | |
| 91305 | 372 | 226 | $7K | |
| 90651 | 1,244 | 1,224 | $6K | |
| 87804 | 297 | 281 | $6K | |
| D0220 | 556 | 533 | $5K | |
| D7140 | 218 | 129 | $5K | |
| 90686 | 732 | 716 | $5K | |
| 99051 | 742 | 699 | $4K | |
| 36415 | 1,151 | 1,016 | $3K | |
| D0150 | 42 | 41 | $3K | |
| 87420 | 144 | 142 | $3K | |
| 99202 | 33 | 31 | $3K | |
| J1050 | Medroxyprogesterone acetate | 45 | 41 | $3K |
| 90834 | 28 | 25 | $3K | |
| 96372 | 365 | 342 | $2K | |
| 90656 | 551 | 551 | $2K | |
| 90734 | 294 | 281 | $2K | |
| 90716 | 341 | 337 | $2K | |
| 90698 | 1,332 | 1,312 | $2K | |
| 91312 | 109 | 76 | $1K | |
| 82962 | 335 | 328 | $1K | |
| D0274 | 43 | 42 | $981.12 | |
| 90619 | 608 | 604 | $946.25 | |
| 90670 | 2,238 | 2,191 | $932.92 | |
| 99396 | 13 | 13 | $906.70 | |
| 90474 | 1,763 | 1,733 | $877.89 | |
| 90620 | 113 | 113 | $773.83 | |
| 90696 | 213 | 213 | $750.90 | |
| 91303 | 40 | 28 | $709.76 | |
| 90633 | 767 | 758 | $662.06 | |
| 90685 | 139 | 139 | $640.82 | |
| D1120 | 26 | 26 | $620.80 | |
| D0230 | 106 | 61 | $584.06 | |
| 0071A | 349 | 226 | $560.16 | |
| 90697 | 1,105 | 1,087 | $487.99 | |
| 90744 | 486 | 467 | $472.71 | |
| 82274 | 29 | 29 | $458.12 | |
| 99442 | 46 | 39 | $423.89 | |
| 90680 | 1,218 | 1,188 | $330.25 | |
| 90710 | 232 | 232 | $328.49 | |
| 0072A | 313 | 211 | $320.08 | |
| 99174 | 292 | 290 | $290.91 | |
| 90672 | 65 | 58 | $277.02 | |
| 99238 | 129 | 127 | $232.00 | |
| D1206 | 12 | 12 | $214.44 | |
| 0002A | 1,203 | 798 | $176.81 | |
| 0003A | 234 | 154 | $160.03 | |
| 90480 | 15 | 15 | $124.60 | |
| 96127 | 87 | 87 | $107.33 | |
| J1885 | Ketorolac tromethamine inj | 29 | 28 | $79.39 |
| 0001A | 1,355 | 879 | $73.91 | |
| 90707 | 248 | 244 | $39.73 | |
| 0124A | 109 | 76 | $37.62 | |
| 96161 | 54 | 54 | $4.34 | |
| 90681 | 567 | 559 | $0.04 | |
| 90473 | 37 | 37 | $0.00 | |
| 82948 | 14 | 14 | $0.00 | |
| 0054A | 19 | 14 | $0.00 | |
| 0053A | 42 | 25 | $0.00 | |
| 90700 | 16 | 16 | $0.00 | |
| 99462 | 16 | 13 | $0.00 | |
| 3008F | 12 | 12 | $0.00 | |
| 0031A | 39 | 28 | $0.00 | |
| D1330 | 17 | 16 | $0.00 |