NPI: 1801154463 · WILMINGTON, CA 90744 · 261QC1500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18,964 | $1.15M |
| 2019 | 13,460 | $549K |
| 2020 | 5,684 | $83K |
| 2021 | 4,035 | $19K |
| 2022 | 4,586 | $8K |
| 2023 | 7,235 | $49K |
| 2024 | 6,852 | $122K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | 18,724 | 17,771 | $1.27M | |
| 99202 | 1,328 | 1,327 | $268K | |
| 90832 | 1,039 | 531 | $80K | |
| A4268 | Female condom | 7,431 | 7,308 | $55K |
| 99211 | 1,324 | 1,290 | $52K | |
| 99214 | 801 | 756 | $51K | |
| A4267 | Male condom | 6,630 | 6,498 | $51K |
| 99215 | Prolong outpt/office vis | 854 | 849 | $43K |
| 90837 | 525 | 413 | $25K | |
| 90791 | 143 | 141 | $21K | |
| S9445 | Pt education noc individ | 1,242 | 1,242 | $16K |
| 90833 | 156 | 137 | $12K | |
| 99213 | 2,008 | 1,820 | $11K | |
| 90792 | 54 | 54 | $8K | |
| 92552 | 2,198 | 2,191 | $6K | |
| 99000 | 418 | 418 | $2K | |
| 99173 | 1,932 | 1,928 | $1K | |
| 81002 | 1,766 | 1,741 | $915.78 | |
| 99205 | Prolong outpt/office vis | 432 | 431 | $597.42 |
| 99395 | 38 | 38 | $561.68 | |
| 99401 | 278 | 263 | $551.85 | |
| 83036 | 516 | 515 | $500.32 | |
| G0444 | Depression screen annual | 1,155 | 1,146 | $327.76 |
| 97802 | 136 | 124 | $319.60 | |
| 82962 | 663 | 653 | $286.07 | |
| 93000 | 18 | 15 | $244.70 | |
| 90686 | 64 | 64 | $176.00 | |
| 96110 | 13 | 13 | $118.80 | |
| G8510 | Scr dep neg, no plan reqd | 374 | 373 | $75.06 |
| 36415 | 2,007 | 1,958 | $62.06 | |
| 81003 | 125 | 123 | $36.97 | |
| 90471 | 16 | 16 | $31.10 | |
| 1160F | 2,901 | 2,574 | $10.96 | |
| 82948 | 41 | 40 | $10.81 | |
| 86580 | 12 | 12 | $6.04 | |
| 3074F | 694 | 642 | $0.00 | |
| 1170F | 740 | 736 | $0.00 | |
| 3075F | 27 | 25 | $0.00 | |
| 1126F | 235 | 234 | $0.00 | |
| 3080F | 44 | 41 | $0.00 | |
| 3079F | 85 | 81 | $0.00 | |
| 96127 | 19 | 19 | $0.00 | |
| 1125F | 25 | 25 | $0.00 | |
| 1159F | 360 | 359 | $0.00 | |
| 3078F | 865 | 786 | $0.00 | |
| 3077F | 330 | 293 | $0.00 | |
| 99393 | 15 | 15 | $0.00 | |
| G0270 | Mnt subs tx for change dx | 15 | 13 | $0.00 |