NPI: 1295042232 · LOS ANGELES, CA 90057 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 554 | $4K |
| 2020 | 1,235 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 255 | 228 | $4K | |
| 99212 | 284 | 267 | $3K | |
| 97802 | 156 | 156 | $3K | |
| 99392 | 41 | 41 | $999.54 | |
| 99391 | 15 | 15 | $412.08 | |
| 90688 | 29 | 29 | $189.00 | |
| 90670 | 30 | 30 | $189.00 | |
| 90685 | 46 | 46 | $189.00 | |
| 90723 | 12 | 12 | $81.00 | |
| 90647 | 12 | 12 | $63.00 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $42.00 |
| 82947 | 48 | 41 | $29.43 | |
| G9275 | Doc of non tobacco user | 25 | 22 | $0.00 |
| G9903 | Pt scrn tbco id as non user | 91 | 89 | $0.00 |
| 3074F | 13 | 12 | $0.00 | |
| 3008F | 306 | 290 | $0.00 | |
| 1000F | 173 | 161 | $0.00 | |
| 36416 | 51 | 45 | $0.00 | |
| 1036F | 41 | 40 | $0.00 | |
| 1033F | 113 | 111 | $0.00 | |
| 4120F | 35 | 35 | $0.00 |