NPI: 1811417553 · CULVER CITY, CA 90232 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 9,948 | $142K |
| 2023 | 45,961 | $623K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0760 | 11,538 | 9,044 | $267K | |
| Q3014 | Telehealth facility fee | 1,579 | 1,477 | $34K |
| 93306 | 248 | 248 | $29K | |
| 90739 | 204 | 203 | $29K | |
| 82306 | 1,484 | 1,471 | $28K | |
| 87491 | 943 | 918 | $23K | |
| 87591 | 942 | 917 | $22K | |
| 84443 | 1,840 | 1,821 | $21K | |
| 80053 | 2,624 | 2,559 | $18K | |
| 80061 | 2,062 | 2,048 | $18K | |
| 90674 | 741 | 739 | $17K | |
| 87389 | 1,046 | 1,044 | $16K | |
| 83036 | 2,426 | 2,401 | $16K | |
| 85025 | 3,091 | 2,977 | $16K | |
| 80307 | 286 | 260 | $13K | |
| 80074 | 395 | 395 | $13K | |
| 86480 | 340 | 338 | $11K | |
| 90677 | 74 | 74 | $9K | |
| 88175 | 380 | 378 | $8K | |
| 90715 | 259 | 258 | $8K | |
| 84439 | 1,223 | 1,211 | $7K | |
| 90471 | 895 | 879 | $7K | |
| 86171 | 424 | 412 | $7K | |
| 77067 | 171 | 171 | $7K | |
| G0463 | Hospital outpt clinic visit | 583 | 485 | $6K |
| 86803 | 666 | 664 | $6K | |
| 80048 | 1,087 | 1,048 | $6K | |
| 99214 | 456 | 451 | $5K | |
| 86780 | 642 | 606 | $5K | |
| 87624 | 269 | 268 | $5K | |
| 86331 | 424 | 412 | $5K | |
| 82607 | 414 | 413 | $4K | |
| 90651 | 63 | 63 | $4K | |
| 71046 | 325 | 322 | $4K | |
| 82728 | 358 | 354 | $3K | |
| 87340 | 473 | 472 | $3K | |
| 82043 | 799 | 780 | $3K | |
| 82570 | 864 | 835 | $3K | |
| 93010 | 348 | 278 | $3K | |
| 86317 | 479 | 476 | $3K | |
| 77063 | 165 | 165 | $3K | |
| 81001 | 1,255 | 1,230 | $3K | |
| 87086 | 476 | 464 | $3K | |
| 88305 | 206 | 204 | $2K | |
| 80076 | 499 | 495 | $2K | |
| 99213 | 268 | 260 | $2K | |
| 83550 | 343 | 339 | $2K | |
| 86140 | 480 | 471 | $2K | |
| 83540 | 369 | 364 | $2K | |
| 83970 | 55 | 54 | $2K | |
| 86704 | 243 | 242 | $1K | |
| 86708 | 190 | 189 | $1K | |
| 84153 | 252 | 251 | $1K | |
| 92228 | 108 | 107 | $1K | |
| 76705 | 26 | 26 | $1K | |
| 87522 | Neg quan hep c or qual rna | 37 | 37 | $1K |
| 96372 | 54 | 43 | $952.69 | |
| 83735 | 208 | 194 | $905.10 | |
| 85610 | 353 | 313 | $902.57 | |
| 84154 | 216 | 215 | $886.50 | |
| 76805 | 14 | 14 | $884.66 | |
| 85652 | 465 | 453 | $846.72 | |
| 81002 | 438 | 345 | $796.36 | |
| 86592 | 328 | 322 | $788.80 | |
| 92014 | 28 | 26 | $691.74 | |
| 76856 | 16 | 16 | $690.05 | |
| 85018 | 412 | 412 | $684.27 | |
| 99284 | 42 | 41 | $683.50 | |
| 85730 | 162 | 159 | $641.60 | |
| 81025 | 237 | 230 | $627.84 | |
| 90694 | 26 | 26 | $609.12 | |
| 71045 | 166 | 119 | $604.20 | |
| 0710 | 57 | 56 | $601.26 | |
| 86038 | 200 | 197 | $588.00 | |
| 99203 | 28 | 28 | $582.42 | |
| 99283 | 14 | 13 | $579.80 | |
| 82274 | 44 | 44 | $497.64 | |
| 84100 | 155 | 138 | $471.80 | |
| 93005 | 63 | 63 | $416.08 | |
| G0500 | Mod sedat endo service >5yrs | 12 | 12 | $376.95 |
| 86706 | 98 | 98 | $372.00 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 42 | 42 | $366.00 |
| 90472 | 43 | 43 | $318.82 | |
| 87338 | 26 | 26 | $306.96 | |
| 84550 | 96 | 94 | $296.92 | |
| 86705 | 37 | 37 | $282.20 | |
| J3010 | Fentanyl citrate injection | 67 | 67 | $253.20 |
| 86235 | 13 | 12 | $251.43 | |
| 83655 | 58 | 58 | $246.50 | |
| 86762 | 25 | 25 | $235.29 | |
| 86431 | 40 | 40 | $160.80 | |
| 87186 | 26 | 25 | $157.56 | |
| 82950 | 42 | 42 | $140.70 | |
| 86255 | 12 | 12 | $105.84 | |
| 86200 | 14 | 14 | $99.40 | |
| 82247 | 32 | 25 | $98.93 | |
| 92020 | 27 | 27 | $98.40 | |
| 90633 | 101 | 100 | $96.92 | |
| 73630 | 17 | 14 | $96.88 | |
| 99153 | Mod sedat endo service >5yrs | 12 | 12 | $90.81 |
| 99173 | 109 | 109 | $88.66 | |
| 87077 | 12 | 12 | $84.90 | |
| 86039 | 12 | 12 | $84.00 | |
| 96127 | 53 | 53 | $81.77 | |
| 84403 | 13 | 13 | $74.00 | |
| 86225 | 12 | 12 | $72.00 | |
| 86901 | 41 | 41 | $68.95 | |
| 86850 | 39 | 39 | $68.64 | |
| 86900 | 41 | 41 | $66.50 | |
| 87081 | 12 | 12 | $54.48 | |
| 82272 | 40 | 40 | $49.92 | |
| 92134 | 12 | 12 | $48.38 | |
| 99001 | 1,324 | 1,280 | $20.01 | |
| 90670 | 224 | 203 | $18.00 | |
| G0008 | Admin influenza virus vac | 15 | 15 | $10.00 |
| 90710 | 83 | 83 | $9.00 | |
| 90697 | 169 | 168 | $9.00 | |
| 0270 | 473 | 347 | $4.94 | |
| 90700 | 13 | 13 | $0.00 | |
| 90734 | 18 | 18 | $0.00 | |
| 76818 | 33 | 14 | $0.00 | |
| 90696 | 14 | 14 | $0.00 | |
| G9008 | Mccd,phys coor-care ovrsght | 103 | 70 | $0.00 |
| H1001 | Antepartum management | 16 | 15 | $0.00 |
| 90680 | 13 | 13 | $0.00 | |
| 99606 | 12 | 12 | $0.00 |