NPI: 1639769953 · SOUTH JORDAN, UT 84095 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,547 | $74K |
| 2022 | 5,569 | $99K |
| 2023 | 3,809 | $85K |
| 2024 | 5,916 | $127K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87798 | 1,197 | 837 | $188K | |
| U0003 | Cov-19 amp prb hgh thruput | 1,209 | 744 | $38K |
| 87801 | 504 | 389 | $17K | |
| 87481 | 502 | 395 | $14K | |
| 87637 | 272 | 202 | $13K | |
| 85025 | 1,796 | 1,193 | $12K | |
| 87640 | 1,161 | 831 | $11K | |
| G2023 | Specimen collect covid-19 | 769 | 489 | $11K |
| 80053 | 1,635 | 1,063 | $10K | |
| 87653 | 361 | 296 | $8K | |
| 87641 | 572 | 448 | $7K | |
| 87532 | 91 | 78 | $7K | |
| U0005 | Infec agen detec ampli probe | 994 | 596 | $6K |
| 87500 | 482 | 379 | $6K | |
| 87651 | 481 | 381 | $5K | |
| 82248 | 1,107 | 725 | $5K | |
| 87591 | 397 | 307 | $5K | |
| 87491 | 396 | 307 | $4K | |
| 83036 | 368 | 343 | $3K | |
| 84443 | 211 | 198 | $3K | |
| 80048 | 364 | 243 | $2K | |
| 80061 | 208 | 198 | $2K | |
| 87486 | 455 | 352 | $1K | |
| 87541 | 455 | 352 | $1K | |
| P9603 | One-way allow prorated miles | 456 | 322 | $1K |
| 86140 | 212 | 93 | $1K | |
| 87498 | 351 | 267 | $1K | |
| 87631 | 14 | 12 | $959.12 | |
| 87799 | 121 | 92 | $476.54 | |
| 87635 | 12 | 12 | $402.62 | |
| 87581 | 91 | 78 | $402.01 | |
| 87496 | 91 | 78 | $402.01 | |
| 83880 | 19 | 12 | $346.98 | |
| 85651 | 79 | 33 | $310.40 | |
| 87636 | 77 | 64 | $91.26 | |
| 81003 | 26 | 25 | $65.94 | |
| P9604 | One-way allow prorated trip | 53 | 44 | $10.10 |
| 36415 | 193 | 144 | $3.70 | |
| 82306 | 15 | 12 | $0.00 | |
| G0471 | Ven blood coll snf/hha | 44 | 17 | $0.00 |