NPI: 1740509546 · PUEBLO WEST, CO 81007 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 158 | $13K |
| 2020 | 1,376 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,185 | 94 | $87K | |
| 87340 | 14 | 13 | $0.00 | |
| 85018 | 41 | 13 | $0.00 | |
| A4657 | Syringe w/wo needle | 138 | 13 | $0.00 |
| 83550 | 13 | 12 | $0.00 | |
| 82040 | 14 | 13 | $0.00 | |
| 80051 | 14 | 13 | $0.00 | |
| 82310 | 16 | 13 | $0.00 | |
| 83540 | 14 | 13 | $0.00 | |
| 82565 | 14 | 13 | $0.00 | |
| 84155 | 14 | 13 | $0.00 | |
| 84100 | 17 | 13 | $0.00 | |
| 84520 | 40 | 13 | $0.00 |