NPI: 1588908305 · LOS ANGELES, CA 90011 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,246 | $933K |
| 2019 | 10,491 | $1.37M |
| 2020 | 19,937 | $2.33M |
| 2021 | 26,981 | $3.63M |
| 2022 | 42,745 | $5.20M |
| 2023 | 65,202 | $7.94M |
| 2024 | 94,040 | $11.28M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 121,829 | 102,393 | $25.12M |
| 00003 | 34,000 | 25,404 | $7.31M | |
| 92014 | 5,499 | 4,806 | $62K | |
| 90834 | 7,333 | 3,274 | $58K | |
| 90832 | 5,343 | 2,633 | $26K | |
| 92015 | 6,243 | 5,459 | $15K | |
| 87811 | 442 | 421 | $13K | |
| 92004 | 871 | 730 | $13K | |
| 90791 | 888 | 813 | $11K | |
| 99214 | 6,234 | 5,567 | $9K | |
| 99213 | 35,928 | 33,446 | $9K | |
| 98940 | 2,251 | 1,625 | $8K | |
| G0467 | Fqhc visit, estab pt | 144 | 132 | $5K |
| D0120 | 803 | 501 | $2K | |
| 0031A | 26 | 26 | $1K | |
| D1120 | 185 | 126 | $904.50 | |
| 0011A | 18 | 18 | $720.00 | |
| D1206 | 163 | 129 | $689.00 | |
| G9920 | Scrning perf and negative | 178 | 177 | $558.25 |
| 90792 | 22 | 15 | $557.48 | |
| D2391 | 20 | 12 | $530.90 | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 12 | 12 | $296.87 |
| D0150 | 47 | 24 | $168.00 | |
| D9430 | 171 | 86 | $154.00 | |
| 99212 | 19,741 | 18,628 | $130.26 | |
| 99396 | 110 | 110 | $109.90 | |
| D4341 | 46 | 12 | $90.00 | |
| 99392 | 3,034 | 3,024 | $74.78 | |
| D1110 | 30 | 16 | $65.50 | |
| D0210 | 17 | 13 | $44.00 | |
| D0274 | 31 | 24 | $41.40 | |
| D0220 | 25 | 24 | $35.00 | |
| 99391 | 2,256 | 2,238 | $34.69 | |
| D1208 | 14 | 13 | $21.60 | |
| 90471 | 640 | 639 | $18.76 | |
| 98941 | 72 | 62 | $16.72 | |
| 99393 | 1,951 | 1,946 | $0.00 | |
| 99395 | 380 | 378 | $0.00 | |
| 99203 | 919 | 910 | $0.00 | |
| 99173 | 302 | 302 | $0.00 | |
| 99394 | 1,096 | 1,093 | $0.00 | |
| 90670 | 460 | 460 | $0.00 | |
| U0003 | Cov-19 amp prb hgh thruput | 158 | 157 | $0.00 |
| 90633 | 185 | 185 | $0.00 | |
| 3078F | 28 | 26 | $0.00 | |
| 99211 | 62 | 62 | $0.00 | |
| 99215 | Prolong outpt/office vis | 211 | 205 | $0.00 |
| 1160F | 36 | 34 | $0.00 | |
| 90681 | 156 | 156 | $0.00 | |
| 90472 | 364 | 364 | $0.00 | |
| 90707 | 41 | 41 | $0.00 | |
| 1159F | 36 | 34 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| 90700 | 18 | 18 | $0.00 | |
| 59425 | 51 | 39 | $0.00 | |
| U0004 | Cov-19 test non-cdc hgh thru | 106 | 106 | $0.00 |
| 99204 | 30 | 30 | $0.00 | |
| 99381 | 112 | 112 | $0.00 | |
| 90716 | 43 | 43 | $0.00 | |
| D1330 | 287 | 226 | $0.00 | |
| 90686 | 563 | 563 | $0.00 | |
| 3008F | 31 | 29 | $0.00 | |
| D0603 | 192 | 172 | $0.00 | |
| 99383 | 52 | 42 | $0.00 | |
| H0002 | Alcohol and/or drug screenin | 70 | 38 | $0.00 |
| 99202 | 254 | 249 | $0.00 | |
| 90647 | 336 | 336 | $0.00 | |
| 92551 | 201 | 200 | $0.00 | |
| 1036F | 12 | 12 | $0.00 | |
| 85018 | 532 | 531 | $0.00 | |
| 86769 | 124 | 124 | $0.00 | |
| 90723 | 308 | 308 | $0.00 | |
| 99385 | 38 | 38 | $0.00 | |
| 99441 | 13 | 13 | $0.00 | |
| 1126F | 32 | 31 | $0.00 | |
| 3074F | 29 | 27 | $0.00 | |
| 99384 | 33 | 33 | $0.00 | |
| D9995 | 20 | 18 | $0.00 | |
| 90620 | 12 | 12 | $0.00 | |
| 36415 | 19 | 19 | $0.00 | |
| D0230 | 12 | 12 | $0.00 | |
| D9310 | 24 | 12 | $0.00 | |
| 90474 | 25 | 25 | $0.00 |