NPI: 1104075282 · LOS ANGELES, CA 90022 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,868 | $2.51M |
| 2019 | 14,502 | $2.06M |
| 2020 | 18,966 | $2.07M |
| 2021 | 35,902 | $4.11M |
| 2022 | 29,209 | $3.82M |
| 2023 | 27,372 | $4.07M |
| 2024 | 45,499 | $6.81M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 92,554 | 75,699 | $18.44M |
| 00003 | 23,166 | 15,857 | $6.79M | |
| 92014 | 4,106 | 3,399 | $94K | |
| 90834 | 1,194 | 687 | $35K | |
| 92004 | 933 | 774 | $23K | |
| 92015 | 4,279 | 3,682 | $22K | |
| V2020 | Vision svcs frames purchases | 1,332 | 1,331 | $21K |
| 92341 | 363 | 363 | $7K | |
| 90791 | 103 | 83 | $5K | |
| 92340 | 347 | 347 | $5K | |
| 90832 | 70 | 53 | $2K | |
| 0012A | 25 | 25 | $2K | |
| 0064A | 23 | 23 | $2K | |
| 0011A | 20 | 20 | $1K | |
| 0124A | 14 | 14 | $938.00 | |
| 0134A | 12 | 12 | $804.00 | |
| 99213 | 31,639 | 28,295 | $455.32 | |
| 99212 | 17,188 | 14,691 | $212.08 | |
| 99203 | 509 | 499 | $114.40 | |
| 87811 | 13 | 12 | $67.60 | |
| 99394 | 1,092 | 1,077 | $63.83 | |
| 99214 | 1,552 | 1,441 | $40.50 | |
| 99395 | 17 | 15 | $37.50 | |
| 99391 | 125 | 121 | $9.00 | |
| 2023F | 63 | 63 | $0.63 | |
| 3074F | 277 | 238 | $0.42 | |
| 3078F | 257 | 220 | $0.41 | |
| 99392 | 439 | 434 | $0.00 | |
| 1160F | 488 | 410 | $0.00 | |
| 1159F | 527 | 440 | $0.00 | |
| 99393 | 927 | 917 | $0.00 | |
| D4910 | 76 | 66 | $0.00 | |
| 99215 | Prolong outpt/office vis | 98 | 97 | $0.00 |
| D2391 | 13 | 12 | $0.00 | |
| 99204 | 169 | 168 | $0.00 | |
| G9920 | Scrning perf and negative | 18 | 18 | $0.00 |
| D4341 | 18 | 12 | $0.00 | |
| 90472 | 15 | 15 | $0.00 | |
| D1110 | 12 | 12 | $0.00 | |
| 96160 | 18 | 18 | $0.00 | |
| Z1034 | 825 | 586 | $0.00 | |
| 99202 | 133 | 132 | $0.00 | |
| 85018 | 33 | 33 | $0.00 | |
| Z6406 | 15 | 13 | $0.00 | |
| 90471 | 70 | 70 | $0.00 | |
| D1330 | 114 | 97 | $0.00 | |
| D0150 | 13 | 13 | $0.00 | |
| 99383 | 12 | 12 | $0.00 | |
| D0210 | 12 | 12 | $0.00 |