NPI: 1548298532 · LOS ANGELES, CA 90028 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 45,568 | $6.68M |
| 2019 | 48,434 | $4.31M |
| 2020 | 78,332 | $8.74M |
| 2021 | 105,697 | $11.42M |
| 2022 | 101,953 | $11.26M |
| 2023 | 122,803 | $13.15M |
| 2024 | 139,398 | $16.37M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 207,061 | 154,958 | $70.93M |
| 90834 | 52,274 | 19,562 | $731K | |
| 99214 | 30,580 | 28,244 | $82K | |
| G0467 | Fqhc visit, estab pt | 6,908 | 5,699 | $81K |
| 90837 | 2,802 | 1,192 | $42K | |
| 99215 | Prolong outpt/office vis | 2,778 | 2,572 | $18K |
| 99213 | 78,600 | 72,850 | $15K | |
| 90853 | 3,884 | 1,646 | $8K | |
| 99212 | 12,065 | 11,411 | $6K | |
| G0470 | Fqhc visit, mh estab pt | 2,566 | 1,064 | $5K |
| 90791 | 182 | 157 | $5K | |
| 90832 | 199 | 148 | $4K | |
| 97810 | 1,907 | 863 | $3K | |
| 90792 | 12 | 12 | $2K | |
| 97813 | 433 | 172 | $1K | |
| 97802 | 1,731 | 1,663 | $360.57 | |
| 1000F | 78,705 | 73,127 | $356.10 | |
| 99406 | 9,228 | 8,615 | $305.24 | |
| 36415 | 16,550 | 16,309 | $295.26 | |
| 97811 | 1,359 | 742 | $200.00 | |
| Q3014 | Telehealth facility fee | 4,785 | 2,853 | $191.27 |
| 96372 | 5,319 | 5,139 | $136.34 | |
| 97140 | 501 | 282 | $111.05 | |
| 98941 | 1,275 | 624 | $100.32 | |
| 4000F | 9,214 | 8,603 | $75.07 | |
| 99203 | 1,110 | 1,099 | $58.91 | |
| 90715 | 975 | 964 | $36.44 | |
| 99202 | 50 | 49 | $33.96 | |
| 98940 | 706 | 390 | $33.44 | |
| 86701 | 1,225 | 1,218 | $15.64 | |
| 97110 | 157 | 97 | $10.96 | |
| 90658 | 1,647 | 1,646 | $6.02 | |
| J0696 | Ceftriaxone sodium injection | 2,367 | 2,347 | $5.16 |
| 90471 | 10,494 | 9,692 | $4.89 | |
| 4004F | 9,434 | 8,798 | $0.05 | |
| 99211 | 72,402 | 64,694 | $0.00 | |
| 91313 | 128 | 127 | $0.00 | |
| 90611 | 562 | 543 | $0.00 | |
| 87491 | 721 | 566 | $0.00 | |
| A4218 | Sterile saline or water | 468 | 464 | $0.00 |
| 82565 | 43 | 42 | $0.00 | |
| 90472 | 540 | 536 | $0.00 | |
| 90756 | 145 | 145 | $0.00 | |
| 84403 | 140 | 140 | $0.00 | |
| 90734 | 258 | 257 | $0.00 | |
| 91322 | 56 | 56 | $0.00 | |
| 90749 | 15 | 15 | $0.00 | |
| 17110 | 72 | 70 | $0.00 | |
| CAG04 | 14 | 13 | $0.00 | |
| 99204 | 50 | 50 | $0.00 | |
| 0134A | 130 | 129 | $0.00 | |
| J0739 | Hiv prep, inj, cabotegravir | 371 | 365 | $0.00 |
| 90651 | 340 | 334 | $0.00 | |
| 87536 | 521 | 518 | $0.00 | |
| 90739 | 39 | 39 | $0.00 | |
| 90686 | 1,631 | 1,625 | $0.00 | |
| 0011A | 433 | 433 | $0.00 | |
| J0561 | Penicillin g benzathine inj | 463 | 435 | $0.00 |
| 90480 | 56 | 56 | $0.00 | |
| 0012A | 437 | 436 | $0.00 | |
| 87389 | 56 | 54 | $0.00 | |
| 97814 | 425 | 171 | $0.00 | |
| 90656 | 152 | 152 | $0.00 | |
| 97804 | 87 | 86 | $0.00 | |
| 91301 | 972 | 914 | $0.00 | |
| 0064A | 334 | 333 | $0.00 | |
| 86592 | 563 | 557 | $0.00 | |
| 91306 | 360 | 359 | $0.00 | |
| 90677 | 70 | 70 | $0.00 | |
| 45999 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 36 | 36 | $0.00 |