NPI: 1922014398 · LONGMONT, CO 80501 · Pharmacy
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 125 | $7K |
| 2019 | 108 | $2K |
| 2020 | 107 | $2K |
| 2021 | 1,404 | $18K |
| 2022 | 465 | $9K |
| 2023 | 135 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 407 | 362 | $13K |
| 0011A | 236 | 138 | $6K | |
| 0064A | 251 | 147 | $6K | |
| E1399 | Durable medical equipment, miscellaneous | 95 | 55 | $5K |
| 0134A | 88 | 82 | $5K | |
| 0012A | 124 | 83 | $4K | |
| 90471 | 133 | 126 | $2K | |
| 91322 | 14 | 13 | $2K | |
| 90686 | 68 | 61 | $849.83 | |
| 90480 | 14 | 13 | $719.47 | |
| 90674 | 28 | 28 | $676.32 | |
| 0001A | 33 | 33 | $658.88 | |
| 0002A | 32 | 16 | $617.70 | |
| 91306 | 251 | 147 | $0.00 | |
| 91301 | 417 | 248 | $0.00 | |
| 91300 | 65 | 49 | $0.00 | |
| 91313 | 88 | 82 | $0.00 |