NPI: 1770803462 · SANTA ANA, CA 92701 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,420 | $2.66M |
| 2019 | 27,814 | $2.48M |
| 2020 | 31,614 | $2.13M |
| 2021 | 42,807 | $2.28M |
| 2022 | 39,324 | $2.20M |
| 2023 | 72,501 | $2.55M |
| 2024 | 81,927 | $3.22M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 51,056 | 43,744 | $8.05M |
| 00003 | 30,780 | 26,678 | $6.02M | |
| 99213 | 33,703 | 26,369 | $1.74M | |
| 96156 | 13,123 | 11,165 | $281K | |
| 99214 | 4,822 | 4,247 | $269K | |
| 92004 | 13,790 | 11,935 | $150K | |
| 99203 | 1,796 | 1,637 | $117K | |
| 99396 | 1,558 | 1,256 | $109K | |
| 99212 | 4,125 | 3,218 | $92K | |
| V2020 | Vision svcs frames purchases | 11,079 | 9,436 | $64K |
| 92340 | 9,298 | 7,917 | $52K | |
| 90471 | 4,486 | 4,029 | $50K | |
| 99395 | 1,074 | 741 | $50K | |
| 92014 | 4,237 | 3,612 | $45K | |
| 92015 | 18,783 | 16,172 | $40K | |
| 90677 | 233 | 190 | $37K | |
| 93000 | 1,575 | 1,432 | $30K | |
| 90715 | 1,024 | 898 | $26K | |
| 92551 | 2,742 | 2,447 | $24K | |
| 99173 | 2,577 | 2,335 | $23K | |
| 96127 | 6,862 | 6,197 | $22K | |
| 92341 | 1,129 | 1,059 | $17K | |
| 99401 | 157 | 149 | $16K | |
| 90686 | 813 | 666 | $14K | |
| 90746 | 232 | 227 | $14K | |
| 83036 | 4,212 | 3,962 | $13K | |
| 90651 | 91 | 73 | $12K | |
| 99000 | 4,274 | 3,912 | $11K | |
| 99202 | 780 | 686 | $10K | |
| 0002A | 327 | 309 | $10K | |
| 92012 | 942 | 769 | $10K | |
| 90834 | 2,049 | 1,436 | $10K | |
| 0001A | 426 | 323 | $8K | |
| 90756 | 645 | 602 | $8K | |
| 99397 | 114 | 103 | $8K | |
| 90656 | 417 | 407 | $7K | |
| 0012A | 230 | 214 | $7K | |
| 90472 | 777 | 560 | $6K | |
| 90837 | 2,488 | 1,731 | $5K | |
| 90791 | 431 | 397 | $4K | |
| 0011A | 196 | 189 | $4K | |
| 0071A | 81 | 81 | $3K | |
| 0072A | 80 | 80 | $3K | |
| 96150 | 202 | 187 | $3K | |
| 0004A | 78 | 78 | $3K | |
| 99406 | 536 | 441 | $2K | |
| 90747 | 23 | 18 | $2K | |
| G0467 | Fqhc visit, estab pt | 1,800 | 1,550 | $2K |
| H0049 | Alcohol/drug screening | 58 | 56 | $1K |
| G2025 | Dis site tele svcs rhc/fqhc | 95 | 77 | $1K |
| 0064A | 30 | 30 | $1K | |
| 92250 | 397 | 390 | $1K | |
| 90674 | 30 | 30 | $826.79 | |
| 81002 | 946 | 860 | $711.50 | |
| 99394 | 63 | 52 | $627.80 | |
| 90661 | 28 | 28 | $619.65 | |
| 99204 | 111 | 109 | $607.59 | |
| 0003A | 14 | 14 | $560.00 | |
| 92002 | 15 | 15 | $435.42 | |
| 85018 | 650 | 597 | $393.99 | |
| 3008F | 18,962 | 16,096 | $262.27 | |
| 82947 | 598 | 573 | $258.16 | |
| 96372 | 16 | 13 | $241.90 | |
| 81001 | 237 | 220 | $192.87 | |
| 3078F | 13,749 | 11,917 | $74.77 | |
| J1885 | Ketorolac tromethamine inj | 16 | 14 | $72.44 |
| 80305 | 414 | 302 | $61.00 | |
| 81025 | 32 | 29 | $47.22 | |
| 3074F | 12,994 | 11,201 | $34.57 | |
| 80053 | 331 | 331 | $28.00 | |
| 85025 | 395 | 394 | $22.00 | |
| 99080 | 12 | 12 | $13.90 | |
| 99441 | 1,319 | 976 | $10.26 | |
| 90832 | 290 | 258 | $0.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 238 | 209 | $0.00 |
| 80061 | 151 | 149 | $0.00 | |
| 3077F | 2,222 | 2,003 | $0.00 | |
| G0468 | Fqhc visit, ippe or awv | 13 | 12 | $0.00 |
| 3051F | 123 | 115 | $0.00 | |
| 83718 | 77 | 77 | $0.00 | |
| 82570 | 27 | 27 | $0.00 | |
| 99442 | 295 | 214 | $0.00 | |
| 3046F | 387 | 363 | $0.00 | |
| 86708 | 13 | 12 | $0.00 | |
| 82465 | 78 | 78 | $0.00 | |
| 82274 | 71 | 71 | $0.00 | |
| 99408 | 29 | 26 | $0.00 | |
| 91300 | 20 | 20 | $0.00 | |
| 99215 | Prolong outpt/office vis | 39 | 39 | $0.00 |
| 2028F | 117 | 102 | $0.00 | |
| 3045F | 18 | 18 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,470 | 2,366 | $0.00 |
| 87635 | 27 | 27 | $0.00 | |
| V2784 | Lens polycarb or equal | 2,787 | 2,756 | $0.00 |
| 87389 | 67 | 66 | $0.00 | |
| 87340 | 13 | 12 | $0.00 | |
| 3075F | 3,252 | 2,975 | $0.00 | |
| 3044F | 506 | 474 | $0.00 | |
| 3079F | 3,671 | 3,280 | $0.00 | |
| 3080F | 925 | 837 | $0.00 | |
| 84478 | 77 | 77 | $0.00 | |
| 86704 | 13 | 12 | $0.00 | |
| 82306 | 90 | 90 | $0.00 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 127 | 122 | $0.00 |
| 84443 | 188 | 186 | $0.00 | |
| V2100 | Lens spher single plano 4.00 | 97 | 89 | $0.00 |
| 99385 | 12 | 12 | $0.00 | |
| 86803 | 15 | 14 | $0.00 | |
| 97802 | 40 | 20 | $0.00 | |
| 82043 | 27 | 27 | $0.00 | |
| 86706 | 13 | 12 | $0.00 | |
| 99205 | Prolong outpt/office vis | 17 | 17 | $0.00 |