NPI: 1578618088 · BANNING, CA 92220 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,818 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,071 | 1,037 | $31K | |
| 99213 | 446 | 428 | $7K | |
| 99211 | 237 | 231 | $2K | |
| 90686 | 91 | 90 | $2K | |
| 90682 | 17 | 17 | $822.93 | |
| 92552 | 65 | 61 | $791.59 | |
| 99203 | 26 | 26 | $730.89 | |
| 90471 | 61 | 61 | $437.68 | |
| 81002 | 160 | 154 | $350.87 | |
| 99000 | 158 | 157 | $260.30 | |
| 99202 | 15 | 15 | $260.00 | |
| 85018 | 130 | 123 | $120.58 | |
| 90460 | 72 | 67 | $105.00 | |
| 36415 | 33 | 33 | $75.00 | |
| 99173 | 67 | 64 | $9.12 | |
| G8482 | Flu immunize order/admin | 20 | 20 | $0.00 |
| 4035F | 14 | 14 | $0.00 | |
| 90461 | 35 | 13 | $0.00 | |
| 1159F | 13 | 13 | $0.00 | |
| 99401 | 14 | 14 | $0.00 | |
| 1160F | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 17 | 17 | $0.00 |
| 1030F | 13 | 13 | $0.00 | |
| 1000F | 16 | 16 | $0.00 | |
| 1036F | 14 | 14 | $0.00 |