NPI: 1639241888 · LOS ANGELES, CA 90029 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,294 | $2.92M |
| 2019 | 20,596 | $1.97M |
| 2020 | 29,422 | $2.13M |
| 2021 | 39,173 | $2.88M |
| 2022 | 27,514 | $2.17M |
| 2023 | 30,411 | $2.93M |
| 2024 | 33,712 | $3.35M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 112,156 | 94,419 | $16.48M |
| 00003 | 7,688 | 5,895 | $1.71M | |
| 92014 | 6,672 | 4,791 | $39K | |
| 90834 | 1,167 | 777 | $35K | |
| 0064A | 201 | 200 | $13K | |
| G0467 | Fqhc visit, estab pt | 309 | 273 | $10K |
| V2020 | Vision svcs frames purchases | 1,339 | 1,339 | $10K |
| 90791 | 176 | 122 | $9K | |
| 92015 | 6,830 | 5,230 | $7K | |
| 92340 | 733 | 733 | $6K | |
| 0012A | 80 | 80 | $5K | |
| 92341 | 456 | 456 | $5K | |
| 90832 | 152 | 111 | $4K | |
| 0134A | 39 | 39 | $3K | |
| 0011A | 36 | 36 | $2K | |
| 0124A | 34 | 34 | $2K | |
| 0001A | 25 | 25 | $2K | |
| 0002A | 16 | 16 | $1K | |
| 99214 | 14,489 | 12,370 | $885.75 | |
| 99393 | 1,162 | 1,143 | $809.25 | |
| 0004A | 12 | 12 | $804.00 | |
| 92552 | 62 | 62 | $673.95 | |
| 92004 | 480 | 439 | $461.50 | |
| 99213 | 31,098 | 27,994 | $417.39 | |
| 99212 | 9,619 | 8,742 | $308.10 | |
| 99394 | 1,080 | 1,049 | $295.80 | |
| 99392 | 800 | 775 | $229.05 | |
| 90471 | 106 | 106 | $113.12 | |
| 99173 | 45 | 45 | $109.12 | |
| 99203 | 172 | 157 | $57.20 | |
| 99381 | 45 | 42 | $36.00 | |
| 96160 | 12 | 12 | $18.00 | |
| Z6406 | 341 | 314 | $0.00 | |
| D0150 | 124 | 122 | $0.00 | |
| Z1038 | 165 | 129 | $0.00 | |
| Z1032 | 25 | 25 | $0.00 | |
| Z6204 | 157 | 144 | $0.00 | |
| 80053 | 40 | 40 | $0.00 | |
| D0210 | 118 | 116 | $0.00 | |
| Z1034 | 605 | 464 | $0.00 | |
| 3074F | 270 | 254 | $0.00 | |
| 90677 | 12 | 12 | $0.00 | |
| 85018 | 13 | 13 | $0.00 | |
| 99202 | 121 | 113 | $0.00 | |
| 99441 | 16 | 15 | $0.00 | |
| 36415 | 89 | 85 | $0.00 | |
| Z6410 | 126 | 101 | $0.00 | |
| Z6402 | 54 | 54 | $0.00 | |
| 99443 | 24 | 24 | $0.00 | |
| 83036 | 24 | 24 | $0.00 | |
| D0230 | 12 | 12 | $0.00 | |
| 82306 | 12 | 12 | $0.00 | |
| 1160F | 1,147 | 815 | $0.00 | |
| 99391 | 223 | 222 | $0.00 | |
| 81002 | 656 | 415 | $0.00 | |
| Z6300 | 72 | 72 | $0.00 | |
| 3078F | 228 | 217 | $0.00 | |
| 1159F | 1,202 | 861 | $0.00 | |
| G9920 | Scrning perf and negative | 114 | 106 | $0.00 |
| Z6304 | 141 | 139 | $0.00 | |
| 99442 | 212 | 205 | $0.00 | |
| D0274 | 13 | 13 | $0.00 | |
| 99204 | 43 | 40 | $0.00 | |
| Z6200 | 180 | 154 | $0.00 | |
| Z6500 | 52 | 50 | $0.00 | |
| Z6400 | 77 | 73 | $0.00 | |
| 99215 | Prolong outpt/office vis | 47 | 46 | $0.00 |
| D0220 | 47 | 45 | $0.00 | |
| 90472 | 17 | 17 | $0.00 | |
| 80061 | 12 | 12 | $0.00 |