DAVIS, CARLY
NPI: 1801121108
· RIVERTON, UT 84096
· Pediatrics Physician
· NPI assigned 10/05/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
68 |
$1K |
| 2019 |
124 |
$935.78 |
| 2020 |
172 |
$3K |
| 2021 |
19 |
$43.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
57 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
215 |
215 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$58.08 |
| 90686 |
|
79 |
79 |
$26.13 |