NPI: 1639414139 · LOS ANGELES, CA 90016 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,325 | $1.84M |
| 2019 | 20,980 | $1.37M |
| 2020 | 28,111 | $1.99M |
| 2021 | 31,150 | $2.29M |
| 2022 | 28,786 | $2.14M |
| 2023 | 34,730 | $2.73M |
| 2024 | 31,519 | $2.64M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 50,259 | 38,435 | $11.72M |
| 00003 | 9,944 | 8,760 | $2.96M | |
| 90834 | 6,326 | 2,124 | $229K | |
| 90832 | 2,326 | 842 | $51K | |
| 90837 | 175 | 76 | $14K | |
| 90688 | 1,166 | 1,166 | $5K | |
| 99214 | 24,157 | 20,875 | $4K | |
| 90791 | 65 | 51 | $4K | |
| 99213 | 27,926 | 24,798 | $3K | |
| 99215 | Prolong outpt/office vis | 5,140 | 3,770 | $2K |
| 90471 | 7,141 | 7,039 | $528.95 | |
| G0467 | Fqhc visit, estab pt | 16 | 15 | $488.67 |
| 99211 | 633 | 517 | $446.41 | |
| 3008F | 19,786 | 19,099 | $368.48 | |
| 99212 | 10,941 | 9,673 | $329.33 | |
| 99204 | 333 | 331 | $272.84 | |
| 86704 | 174 | 174 | $213.99 | |
| 90734 | 56 | 56 | $180.05 | |
| 99203 | 324 | 311 | $174.87 | |
| 3512F | 9,962 | 9,867 | $164.92 | |
| 87389 | 870 | 860 | $143.20 | |
| 96372 | 1,481 | 1,385 | $132.31 | |
| 90715 | 349 | 348 | $126.94 | |
| 90746 | 177 | 176 | $116.20 | |
| 82274 | 219 | 216 | $112.22 | |
| 90674 | 1,265 | 1,265 | $90.00 | |
| D0120 | 159 | 154 | $68.00 | |
| 80053 | 1,253 | 1,241 | $63.30 | |
| 90632 | 24 | 24 | $46.58 | |
| D0220 | 184 | 158 | $36.00 | |
| 86803 | 391 | 390 | $30.40 | |
| 90472 | 468 | 466 | $22.16 | |
| 99205 | Prolong outpt/office vis | 40 | 40 | $17.70 |
| 86708 | 214 | 213 | $15.72 | |
| 86317 | 106 | 105 | $15.00 | |
| J0696 | Ceftriaxone sodium injection | 164 | 163 | $6.00 |
| 82948 | 456 | 427 | $2.68 | |
| 3017F | 667 | 656 | $0.00 | |
| D1330 | 542 | 487 | $0.00 | |
| 87340 | 147 | 147 | $0.00 | |
| 99000 | 246 | 236 | $0.00 | |
| 99385 | 17 | 15 | $0.00 | |
| 90651 | 24 | 24 | $0.00 | |
| 99443 | 85 | 82 | $0.00 | |
| D0150 | 32 | 32 | $0.00 | |
| 99202 | 39 | 39 | $0.00 | |
| D0230 | 237 | 121 | $0.00 | |
| 99447 | 47 | 46 | $0.00 | |
| D0210 | 101 | 99 | $0.00 | |
| 99406 | 33 | 30 | $0.00 | |
| D0140 | 28 | 25 | $0.00 | |
| J0561 | Penicillin g benzathine inj | 13 | 13 | $0.00 |
| 84443 | 35 | 35 | $0.00 | |
| D5899 | 72 | 58 | $0.00 | |
| 3011F | 12 | 12 | $0.00 | |
| 90739 | 26 | 25 | $0.00 | |
| 3044F | 13 | 13 | $0.00 | |
| 4293F | 14 | 14 | $0.00 | |
| D1110 | 172 | 165 | $0.00 | |
| D4341 | 269 | 129 | $0.00 | |
| 99401 | 375 | 361 | $0.00 | |
| 1160F | 798 | 703 | $0.00 | |
| 1159F | 801 | 706 | $0.00 | |
| 99408 | 110 | 109 | $0.00 | |
| 90661 | 340 | 340 | $0.00 | |
| 3725F | 356 | 349 | $0.00 | |
| 0124A | 37 | 37 | $0.00 | |
| 91312 | 37 | 37 | $0.00 | |
| 90750 | 43 | 43 | $0.00 | |
| D0270 | 18 | 15 | $0.00 | |
| J1380 | Estradiol valerate 10 mg inj | 16 | 12 | $0.00 |
| D0274 | 52 | 51 | $0.00 | |
| 3015F | 12 | 12 | $0.00 | |
| 81025 | 20 | 20 | $0.00 | |
| 3511F | 16 | 16 | $0.00 | |
| 99396 | 17 | 17 | $0.00 | |
| D4910 | 12 | 12 | $0.00 |