WAGNER, JESSIKA
NPI: 1922259449
· OGDEN, UT 84403
· Pediatrics Physician
· NPI assigned 10/02/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
114 |
$6K |
| 2019 |
77 |
$3K |
| 2020 |
125 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
158 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
28 |
$2K |
| 90686 |
|
116 |
116 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |