NPI: 1790819456 · PUEBLO, CO 81001 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,611 | $219K |
| 2019 | 4,535 | $185K |
| 2020 | 2,376 | $116K |
| 2021 | 1,076 | $80K |
| 2022 | 193 | $22K |
| 2023 | 128 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 805 | 739 | $126K |
| 99213 | 2,046 | 1,731 | $118K | |
| 99214 | 1,295 | 1,025 | $112K | |
| 95004 | 1,218 | 1,032 | $97K | |
| 99215 | Prolong outpt/office vis | 671 | 515 | $79K |
| 94060 | 1,200 | 1,024 | $41K | |
| 94010 | 1,438 | 1,241 | $39K | |
| 31575 | 283 | 270 | $9K | |
| 94760 | 3,382 | 2,455 | $7K | |
| 95165 | 44 | 36 | $6K | |
| 99204 | 41 | 40 | $5K | |
| 94640 | 110 | 81 | $1K | |
| J7613 | Albuterol non-comp unit | 1,306 | 1,120 | $49.00 |
| 99072 | 80 | 60 | $35.00 |