NPI: 1548573082 · SANTA FE, NM 87505 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,012 | $264K |
| 2019 | 7,384 | $270K |
| 2020 | 3,943 | $117K |
| 2021 | 4,626 | $67K |
| 2022 | 4,816 | $114K |
| 2023 | 2,090 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 27,085 | 962 | $901K | |
| 80069 | 178 | 170 | $2K | |
| 83970 | 217 | 208 | $2K | |
| 83550 | 611 | 592 | $1K | |
| 82108 | 214 | 206 | $1K | |
| 85025 | 647 | 626 | $1K | |
| 83540 | 601 | 584 | $958.66 | |
| 82728 | 214 | 206 | $668.34 | |
| 84155 | 596 | 576 | $488.42 | |
| 83735 | 215 | 207 | $328.53 | |
| 84075 | 118 | 112 | $145.32 | |
| 87340 | 54 | 53 | $109.18 | |
| 86706 | 26 | 25 | $56.99 | |
| 80053 | 12 | 12 | $55.26 | |
| 84100 | 41 | 40 | $54.03 | |
| G0008 | Admin influenza virus vac | 28 | 27 | $32.10 |
| 86803 | 14 | 14 | $17.65 |