NPI: 1609437599 · SAN BERNARDINO, CA 92404 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,822 | $208K |
| 2021 | 5,903 | $478K |
| 2022 | 12,231 | $681K |
| 2023 | 24,953 | $1.08M |
| 2024 | 23,071 | $1.14M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 67028 | 3,680 | 2,680 | $1.17M | |
| 66984 | 687 | 591 | $542K | |
| J9035 | Bevacizumab injection | 3,323 | 2,419 | $219K |
| V2020 | Vision svcs frames purchases | 10,339 | 10,317 | $209K |
| 92004 | 4,588 | 4,587 | $197K | |
| 99204 | 2,924 | 2,921 | $178K | |
| 92340 | 7,791 | 7,777 | $165K | |
| 92134 | 5,424 | 4,253 | $149K | |
| 92014 | 3,207 | 3,195 | $101K | |
| 92250 | 2,607 | 2,598 | $91K | |
| 99214 | 2,326 | 2,296 | $81K | |
| 92133 | 2,481 | 1,858 | $68K | |
| 92341 | 2,088 | 2,085 | $65K | |
| 99203 | 1,087 | 1,087 | $61K | |
| 92015 | 7,131 | 7,129 | $55K | |
| 92082 | 1,577 | 1,575 | $51K | |
| 99213 | 2,169 | 2,123 | $48K | |
| 68761 | 282 | 277 | $33K | |
| 92136 | 665 | 659 | $29K | |
| 92202 | 1,996 | 1,366 | $26K | |
| 92020 | 1,134 | 1,128 | $18K | |
| 92012 | 527 | 505 | $14K | |
| 76514 | 627 | 624 | $5K | |
| 99205 | Prolong outpt/office vis | 39 | 39 | $3K |
| 92083 | 254 | 254 | $2K | |
| V2744 | Tint photochromatic lens/es | 27 | 27 | $0.00 |