NPI: 1689012148 · SAN JOSE, CA 95128 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 18,808 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0241U | 99 | 99 | $3K | |
| 80307 | 114 | 87 | $1K | |
| 77065 | Tomosynthesis, mammo | 27 | 27 | $1K |
| 77066 | Tomosynthesis, mammo | 26 | 26 | $985.48 |
| 99284 | 79 | 70 | $863.19 | |
| 97110 | 91 | 52 | $491.55 | |
| 99283 | 24 | 24 | $182.15 | |
| 83036 | 1,504 | 1,498 | $171.57 | |
| 80061 | 875 | 870 | $165.94 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $160.00 |
| 76705 | 12 | 12 | $137.76 | |
| 71046 | 44 | 43 | $129.19 | |
| 84153 | 98 | 98 | $128.73 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 69 | 68 | $108.56 |
| 85025 | 1,310 | 1,224 | $102.96 | |
| 84443 | 587 | 583 | $77.26 | |
| 84484 | 82 | 52 | $75.79 | |
| 0038U | 333 | 333 | $68.85 | |
| 93005 | 98 | 91 | $63.37 | |
| 80051 | 1,600 | 1,497 | $63.18 | |
| 85610 | 392 | 290 | $48.99 | |
| 82565 | 1,678 | 1,572 | $47.81 | |
| 80076 | 666 | 645 | $44.79 | |
| 83880 | 32 | 31 | $44.15 | |
| 82947 | 1,610 | 1,506 | $39.68 | |
| 84520 | 1,602 | 1,499 | $35.54 | |
| 80053 | 266 | 249 | $33.78 | |
| 83550 | 172 | 172 | $27.18 | |
| 83540 | 172 | 172 | $20.11 | |
| 82607 | 230 | 230 | $17.57 | |
| 83690 | 52 | 47 | $16.76 | |
| 85027 | 196 | 194 | $15.12 | |
| 82728 | 116 | 116 | $14.68 | |
| 81001 | 371 | 346 | $11.11 | |
| 87088 | 174 | 162 | $9.99 | |
| 84439 | 127 | 124 | $9.79 | |
| 87077 | 170 | 155 | $8.05 | |
| 83735 | 177 | 173 | $7.72 | |
| 84550 | 180 | 175 | $5.20 | |
| 82570 | 584 | 575 | $1.51 | |
| 80048 | 37 | 37 | $1.36 | |
| 82105 | 16 | 16 | $1.18 | |
| 84100 | 30 | 26 | $1.03 | |
| 85651 | 63 | 63 | $0.93 | |
| 86140 | 64 | 63 | $0.67 | |
| 87186 | 78 | 77 | $0.66 | |
| 82043 | 413 | 413 | $0.51 | |
| 84156 | 146 | 141 | $0.48 | |
| 82747 | 16 | 16 | $0.37 | |
| 83921 | 26 | 26 | $0.37 | |
| 84450 | 175 | 171 | $0.29 | |
| 84460 | 451 | 448 | $0.15 | |
| 87481 | 22 | 12 | $0.00 | |
| 84155 | 13 | 13 | $0.00 | |
| 82274 | 408 | 407 | $0.00 | |
| 87338 | 33 | 33 | $0.00 | |
| 82465 | 94 | 94 | $0.00 | |
| G1004 | Cdsm ndsc | 157 | 154 | $0.00 |
| 83970 | 13 | 13 | $0.00 | |
| 84132 | 46 | 43 | $0.00 | |
| 80069 | 117 | 113 | $0.00 | |
| 87517 | 13 | 13 | $0.00 | |
| 86481 | 165 | 165 | $0.00 | |
| 87389 | 14 | 14 | $0.00 | |
| 82985 | 41 | 40 | $0.00 | |
| 86803 | 67 | 66 | $0.00 | |
| 87661 | 12 | 12 | $0.00 | |
| 84075 | 13 | 12 | $0.00 | |
| 87340 | 13 | 13 | $0.00 |