NPI: 1689130098 · VICTORVILLE, CA 92395 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13,306 | $10K |
| 2020 | 6,397 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92551 | 1,030 | 1,028 | $10K | |
| 90686 | 266 | 266 | $2K | |
| 90471 | 188 | 186 | $966.26 | |
| 90651 | 112 | 111 | $672.00 | |
| 90734 | 87 | 87 | $522.00 | |
| 90633 | 69 | 69 | $408.00 | |
| 90670 | 57 | 57 | $342.00 | |
| 90648 | 45 | 45 | $270.00 | |
| 90715 | 37 | 37 | $222.00 | |
| 90723 | 30 | 30 | $180.00 | |
| 90620 | 26 | 26 | $156.00 | |
| 90472 | 12 | 12 | $78.01 | |
| 81025 | 109 | 108 | $0.00 | |
| 99394 | 187 | 187 | $0.00 | |
| 3078F | 295 | 279 | $0.00 | |
| 81002 | 666 | 655 | $0.00 | |
| 3725F | 992 | 974 | $0.00 | |
| 3077F | 338 | 311 | $0.00 | |
| G8483 | Flu imm no admin doc rea | 119 | 117 | $0.00 |
| 99173 | 1,148 | 1,146 | $0.00 | |
| 99212 | 628 | 621 | $0.00 | |
| 99442 | 23 | 22 | $0.00 | |
| 99393 | 176 | 176 | $0.00 | |
| 99392 | 151 | 151 | $0.00 | |
| G9920 | Scrning perf and negative | 38 | 38 | $0.00 |
| 99395 | 12 | 12 | $0.00 | |
| 99211 | 41 | 40 | $0.00 | |
| 99391 | 15 | 15 | $0.00 | |
| 99213 | 1,704 | 1,606 | $0.00 | |
| 3075F | 74 | 71 | $0.00 | |
| 85018 | 630 | 627 | $0.00 | |
| 99385 | 31 | 31 | $0.00 | |
| 36415 | 940 | 900 | $0.00 | |
| 3351F | 840 | 827 | $0.00 | |
| 96110 | 230 | 230 | $0.00 | |
| 3074F | 234 | 224 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 765 | 753 | $0.00 |
| 99070 | 29 | 28 | $0.00 | |
| 96127 | 822 | 816 | $0.00 | |
| 99000 | 1,228 | 1,147 | $0.00 | |
| 36416 | 65 | 64 | $0.00 | |
| 1031F | 1,835 | 1,781 | $0.00 | |
| 99383 | 43 | 43 | $0.00 | |
| G0442 | Annual alcohol screen 15 min | 526 | 524 | $0.00 |
| 99441 | 43 | 42 | $0.00 | |
| G9008 | Mccd,phys coor-care ovrsght | 130 | 98 | $0.00 |
| 99214 | 1,054 | 975 | $0.00 | |
| 99386 | 12 | 12 | $0.00 | |
| 1034F | 208 | 202 | $0.00 | |
| 3080F | 106 | 106 | $0.00 | |
| 1036F | 803 | 766 | $0.00 | |
| 99384 | 30 | 30 | $0.00 | |
| 3079F | 208 | 202 | $0.00 | |
| H0049 | Alcohol/drug screening | 29 | 29 | $0.00 |
| 99406 | 135 | 134 | $0.00 | |
| 96156 | 40 | 40 | $0.00 | |
| 1000F | 12 | 12 | $0.00 |