NPI: 1699538983 · SANTA FE, NM 87505 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13,506 | $399K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | 1,083 | 1,032 | $44K | |
| 87801 | 517 | 431 | $41K | |
| 99211 | 1,433 | 1,122 | $35K | |
| 99213 | 358 | 338 | $34K | |
| 90471 | 1,338 | 1,315 | $30K | |
| J1050 | Medroxyprogesterone acetate | 223 | 218 | $21K |
| 87538 | 596 | 587 | $18K | |
| 87389 | 640 | 629 | $16K | |
| 99203 | 113 | 112 | $14K | |
| 90739 | 80 | 79 | $14K | |
| S4993 | Contraceptive pills for bc | 147 | 142 | $13K |
| 90632 | 152 | 147 | $12K | |
| 99212 | 208 | 188 | $12K | |
| 86780 | 702 | 684 | $10K | |
| 87661 | 286 | 274 | $10K | |
| 87491 | 273 | 262 | $10K | |
| 87591 | 272 | 261 | $9K | |
| 99204 | 50 | 49 | $9K | |
| 90715 | 444 | 442 | $6K | |
| 90716 | 194 | 194 | $5K | |
| 90713 | 293 | 289 | $5K | |
| 81025 | 440 | 423 | $4K | |
| 90651 | 240 | 239 | $4K | |
| 90707 | 121 | 120 | $3K | |
| J8499 | Oral prescrip drug non chemo | 35 | 28 | $3K |
| 90480 | 82 | 82 | $2K | |
| 36415 | 232 | 228 | $2K | |
| 80305 | 211 | 95 | $2K | |
| 86803 | 134 | 131 | $2K | |
| 90656 | 100 | 98 | $2K | |
| 81001 | 488 | 480 | $2K | |
| 99202 | 19 | 19 | $2K | |
| A4267 | Male condom | 148 | 140 | $673.44 |
| 86593 | 131 | 127 | $661.12 | |
| 90473 | 29 | 29 | $594.30 | |
| 88142 | 21 | 20 | $483.76 | |
| Q3014 | Telehealth facility fee | 19 | 15 | $467.82 |
| 87562 | 12 | 12 | $297.74 | |
| 87210 | 48 | 47 | $151.11 | |
| 80053 | 12 | 12 | $138.11 | |
| 81002 | 27 | 26 | $45.56 | |
| 87535 | 262 | 259 | $42.11 | |
| 90619 | 336 | 335 | $0.05 | |
| 90633 | 276 | 274 | $0.04 | |
| 90744 | 74 | 74 | $0.00 | |
| 90696 | 107 | 107 | $0.00 | |
| 90697 | 47 | 47 | $0.00 | |
| 90680 | 29 | 29 | $0.00 | |
| 90677 | 139 | 139 | $0.00 | |
| 90698 | 17 | 15 | $0.00 | |
| 90700 | 53 | 53 | $0.00 | |
| 90710 | 186 | 183 | $0.00 | |
| 90734 | 29 | 29 | $0.00 |