NPI: 1942532189 · PHOENIX, AZ 85012 · 251300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 60,333 | $749K |
| 2019 | 74,752 | $1.24M |
| 2020 | 48,931 | $903K |
| 2021 | 64,370 | $1.62M |
| 2022 | 73,244 | $2.43M |
| 2023 | 79,821 | $3.52M |
| 2024 | 53,362 | $1.66M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 104,583 | 103,122 | $4.71M | |
| 90739 | 7,347 | 7,239 | $997K | |
| 90716 | 17,844 | 16,305 | $955K | |
| 90651 | 29,539 | 28,258 | $703K | |
| 90471 | 29,745 | 28,988 | $679K | |
| 90707 | 14,464 | 13,199 | $614K | |
| 90632 | 12,112 | 11,668 | $494K | |
| 90472 | 11,448 | 11,196 | $319K | |
| 91322 | 2,683 | 2,587 | $282K | |
| 90715 | 36,080 | 34,745 | $243K | |
| 0071A | 2,512 | 2,397 | $195K | |
| 0001A | 3,736 | 3,639 | $155K | |
| 90480 | 4,962 | 4,943 | $152K | |
| 90686 | 28,981 | 27,696 | $132K | |
| 0072A | 1,664 | 1,588 | $130K | |
| 0002A | 2,494 | 2,455 | $128K | |
| 0011A | 3,702 | 3,639 | $108K | |
| 0012A | 3,015 | 2,988 | $102K | |
| 0124A | 1,357 | 1,346 | $99K | |
| 0064A | 1,283 | 1,254 | $84K | |
| 0051A | 927 | 904 | $75K | |
| 0004A | 1,022 | 983 | $75K | |
| 0052A | 917 | 897 | $74K | |
| 0054A | 850 | 821 | $63K | |
| 90750 | 365 | 346 | $51K | |
| 90620 | 3,283 | 3,109 | $49K | |
| 0031A | 1,073 | 1,059 | $49K | |
| 91320 | 611 | 601 | $45K | |
| 0134A | 728 | 711 | $42K | |
| 90674 | 3,605 | 3,380 | $38K | |
| 0121A | 747 | 745 | $34K | |
| 90734 | 20,391 | 19,529 | $19K | |
| 0073A | 196 | 196 | $16K | |
| 90713 | 11,713 | 11,135 | $16K | |
| 90656 | 712 | 705 | $16K | |
| 0074A | 197 | 174 | $15K | |
| 0013A | 224 | 217 | $15K | |
| 90746 | 219 | 213 | $14K | |
| 0081A | 152 | 150 | $12K | |
| 0154A | 132 | 130 | $10K | |
| 90677 | 617 | 549 | $9K | |
| 90619 | 6,810 | 6,464 | $9K | |
| 96372 | 813 | 611 | $9K | |
| 99213 | 164 | 147 | $8K | |
| 0151A | 168 | 168 | $7K | |
| 90670 | 6,002 | 5,838 | $7K | |
| 90688 | 1,186 | 1,142 | $5K | |
| 0111A | 75 | 65 | $5K | |
| 0091A | 61 | 61 | $5K | |
| 99203 | 69 | 61 | $4K | |
| 87491 | 134 | 122 | $4K | |
| 87591 | 137 | 122 | $4K | |
| 0082A | 44 | 44 | $4K | |
| 99212 | 106 | 104 | $3K | |
| 99204 | 26 | 26 | $3K | |
| 96380 | 170 | 169 | $3K | |
| 0003A | 35 | 34 | $3K | |
| 90636 | 28 | 28 | $3K | |
| 36415 | 675 | 647 | $2K | |
| 81025 | 421 | 366 | $2K | |
| 99202 | 45 | 45 | $2K | |
| J1050 | Medroxyprogesterone acetate | 25 | 25 | $1K |
| 90461 | 99 | 99 | $1K | |
| 0141A | 26 | 26 | $1K | |
| 90662 | 61 | 61 | $1K | |
| 0112A | 14 | 12 | $1K | |
| 86780 | 83 | 77 | $955.59 | |
| 0053A | 12 | 12 | $923.86 | |
| 90694 | 17 | 17 | $883.45 | |
| 0171A | 15 | 15 | $688.83 | |
| 90621 | 1,354 | 1,277 | $348.02 | |
| 90744 | 7,259 | 6,878 | $202.38 | |
| 91319 | 182 | 172 | $111.18 | |
| 90633 | 18,428 | 17,614 | $105.15 | |
| 91312 | 248 | 240 | $83.93 | |
| 90714 | 12 | 12 | $40.18 | |
| G0008 | Admin influenza virus vac | 74 | 67 | $18.28 |
| 90756 | 1,333 | 1,069 | $15.43 | |
| 90700 | 5,532 | 5,313 | $5.83 | |
| 90710 | 10,982 | 10,654 | $5.67 | |
| 90723 | 2,959 | 2,866 | $2.63 | |
| 91301 | 2,153 | 2,095 | $1.22 | |
| 90696 | 5,624 | 5,479 | $0.43 | |
| 91313 | 131 | 125 | $0.26 | |
| 91305 | 228 | 151 | $0.12 | |
| 90611 | 13 | 13 | $0.12 | |
| 91307 | 1,272 | 1,015 | $0.10 | |
| 91300 | 1,440 | 1,353 | $0.04 | |
| 91321 | 692 | 584 | $0.02 | |
| 91306 | 153 | 141 | $0.01 | |
| 90680 | 1,693 | 1,653 | $0.00 | |
| 90698 | 3,785 | 3,657 | $0.00 | |
| 91303 | 112 | 109 | $0.00 | |
| 90697 | 518 | 489 | $0.00 | |
| 90647 | 1,887 | 1,842 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 20 | 18 | $0.00 |
| 91318 | 13 | 12 | $0.00 | |
| 90381 | 77 | 42 | $0.00 | |
| 91315 | 15 | 14 | $0.00 | |
| 90671 | 339 | 330 | $0.00 | |
| 90685 | 153 | 153 | $0.00 | |
| 90661 | 208 | 208 | $0.00 | |
| 90672 | 29 | 29 | $0.00 | |
| 90658 | 13 | 13 | $0.00 | |
| 90380 | 129 | 61 | $0.00 |