NPI: 1689978850 · LOS ANGELES, CA 90057 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43,878 | $1.31M |
| 2019 | 11,223 | $159K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87491 | 7,353 | 7,353 | $211K | |
| 87591 | 7,349 | 7,349 | $211K | |
| 99212 | 2,732 | 1,938 | $207K | |
| 99202 | 1,288 | 845 | $181K | |
| 86701 | 8,924 | 8,922 | $66K | |
| J7307 | Etonogestrel implant system | 71 | 71 | $59K |
| 99211 | 1,050 | 772 | $57K | |
| J3490 | Drugs unclassified injection | 484 | 364 | $50K |
| J7301 | Skyla, 13.5 mg | 68 | 34 | $50K |
| 99213 | 1,270 | 1,056 | $50K | |
| 99203 | 219 | 158 | $45K | |
| Z1034 | 728 | 504 | $40K | |
| A4267 | Male condom | 2,958 | 2,936 | $33K |
| 86592 | 8,984 | 8,982 | $32K | |
| Z1032 | 166 | 166 | $26K | |
| Z6500 | 147 | 147 | $18K | |
| S9445 | Pt education noc individ | 1,358 | 1,357 | $17K |
| 59425 | 743 | 474 | $15K | |
| 11981 | 133 | 68 | $15K | |
| 99391 | 296 | 278 | $14K | |
| 99381 | 136 | 122 | $12K | |
| 99402 | 286 | 286 | $9K | |
| 81025 | 2,642 | 2,637 | $7K | |
| 87340 | 813 | 813 | $7K | |
| 76801 | 124 | 111 | $6K | |
| 58300 | 66 | 34 | $6K | |
| 11976 | 95 | 49 | $5K | |
| Z6400 | 196 | 194 | $3K | |
| 85025 | 494 | 486 | $3K | |
| 81002 | 1,348 | 960 | $2K | |
| Z6406 | 172 | 159 | $2K | |
| Z6204 | 164 | 151 | $2K | |
| Z6304 | 164 | 153 | $1K | |
| 99382 | 14 | 12 | $1K | |
| 99392 | 173 | 172 | $1K | |
| Z6410 | 71 | 64 | $1K | |
| 99214 | 67 | 63 | $735.70 | |
| S0197 | Prenatal vitamins 30 day | 373 | 206 | $515.78 |
| 99215 | Prolong outpt/office vis | 34 | 33 | $378.93 |
| 92551 | 53 | 53 | $374.68 | |
| 90670 | 122 | 122 | $351.00 | |
| 99393 | 57 | 57 | $350.53 | |
| 90744 | 65 | 65 | $342.00 | |
| 90698 | 60 | 60 | $279.00 | |
| 90680 | 67 | 67 | $270.00 | |
| 90713 | 43 | 43 | $216.00 | |
| 85018 | 198 | 198 | $147.93 | |
| 92552 | 40 | 40 | $99.12 | |
| 90700 | 77 | 77 | $90.00 | |
| 83655 | 46 | 46 | $77.82 | |
| 81000 | 94 | 94 | $75.92 | |
| 90647 | 33 | 33 | $72.00 | |
| 90633 | 69 | 68 | $63.00 | |
| 85014 | 67 | 67 | $33.16 | |
| 90657 | 12 | 12 | $27.00 | |
| 90710 | 12 | 12 | $18.00 | |
| 90674 | 27 | 27 | $18.00 | |
| 97803 | 48 | 41 | $0.00 | |
| H1003 | Prenatal at risk education | 72 | 54 | $0.00 |
| 99401 | 72 | 62 | $0.00 | |
| 92081 | 14 | 14 | $0.00 |