NPI: 1447241302 · FREMONT, CA 94538 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,592 | $41K |
| 2019 | 1,905 | $77K |
| 2020 | 2,295 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 77067 | 1,166 | 941 | $63K | |
| 76641 | 566 | 323 | $29K | |
| 76856 | 469 | 424 | $16K | |
| 73562 | 856 | 527 | $14K | |
| 77066 | Tomosynthesis, mammo | 208 | 164 | $14K |
| 76830 | 366 | 339 | $13K | |
| 93975 | 451 | 405 | $13K | |
| 71046 | 955 | 845 | $12K | |
| 77065 | Tomosynthesis, mammo | 201 | 147 | $12K |
| 76700 | 170 | 140 | $11K | |
| 72110 | 422 | 374 | $8K | |
| 73030 | 456 | 349 | $5K | |
| 73721 | 91 | 69 | $5K | |
| 93976 | 90 | 84 | $3K | |
| 72148 | 20 | 12 | $2K | |
| 73630 | 211 | 165 | $2K | |
| 76770 | 56 | 51 | $2K | |
| 70450 | 46 | 39 | $1K | |
| 73130 | 107 | 84 | $1K | |
| 72050 | 60 | 55 | $925.86 | |
| 76857 | 71 | 65 | $794.29 | |
| 76642 | 23 | 13 | $720.00 | |
| 72072 | 65 | 64 | $686.76 | |
| G0204 | Dx mammo incl cad bi | 15 | 14 | $664.85 |
| G0202 | Scr mammo bi incl cad | 352 | 180 | $572.60 |
| 71045 | 78 | 77 | $482.54 | |
| 72220 | 20 | 16 | $450.53 | |
| 71020 | 34 | 27 | $347.28 | |
| 72114 | 44 | 42 | $300.93 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 78 | 74 | $139.34 |
| 76536 | 30 | 29 | $112.91 | |
| 73521 | 15 | 15 | $0.00 |