NPI: 1841913951 · COSTA MESA, CA 92627 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 832 | $104K |
| 2024 | 70,554 | $6.17M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 21,485 | 12,293 | $5.42M |
| 96156 | 4,950 | 4,066 | $212K | |
| 99213 | 9,428 | 5,397 | $181K | |
| 99214 | 6,674 | 3,959 | $180K | |
| 90792 | 1,758 | 1,030 | $73K | |
| 99204 | 748 | 541 | $48K | |
| G0108 | Diab manage trn per indiv | 832 | 694 | $43K |
| 99215 | Prolong outpt/office vis | 285 | 161 | $13K |
| 99205 | Prolong outpt/office vis | 113 | 71 | $12K |
| 87491 | 735 | 732 | $11K | |
| 99203 | 282 | 190 | $11K | |
| 97802 | 1,327 | 1,318 | $9K | |
| 0900 | 55 | 28 | $8K | |
| G0470 | Fqhc visit, mh estab pt | 48 | 25 | $6K |
| 83036 | 962 | 947 | $5K | |
| 99212 | 426 | 272 | $5K | |
| 98960 | 205 | 204 | $4K | |
| 88175 | 204 | 204 | $4K | |
| 87635 | 104 | 103 | $4K | |
| 99393 | 338 | 201 | $2K | |
| 87086 | 670 | 665 | $2K | |
| 99394 | 329 | 208 | $2K | |
| 92551 | 522 | 522 | $2K | |
| 90832 | 10,447 | 3,880 | $2K | |
| 90791 | 545 | 522 | $1K | |
| 96110 | 143 | 140 | $1K | |
| 81001 | 872 | 868 | $1K | |
| 87430 | 220 | 217 | $856.89 | |
| 99406 | 444 | 442 | $848.73 | |
| G0442 | Annual alcohol screen 15 min | 391 | 391 | $833.59 |
| 87811 | 26 | 25 | $640.56 | |
| 87804 | 130 | 128 | $618.08 | |
| 81002 | 629 | 602 | $606.09 | |
| G8510 | Scr dep neg, no plan reqd | 39 | 39 | $443.46 |
| 96127 | 600 | 596 | $440.54 | |
| 85018 | 534 | 529 | $388.23 | |
| 99211 | 41 | 41 | $352.00 | |
| 90619 | 88 | 83 | $234.00 | |
| 99392 | 16 | 12 | $192.92 | |
| 90656 | 67 | 67 | $189.00 | |
| 90633 | 28 | 28 | $180.00 | |
| 90651 | 61 | 59 | $162.00 | |
| 90686 | 32 | 32 | $117.00 | |
| 1031F | 503 | 501 | $0.00 | |
| 3008F | 642 | 631 | $0.00 | |
| 3074F | 234 | 231 | $0.00 | |
| 1034F | 341 | 341 | $0.00 | |
| S9452 | Nutrition class | 88 | 88 | $0.00 |
| G0447 | Behavior counsel obesity 15m | 28 | 28 | $0.00 |
| 1157F | 246 | 245 | $0.00 | |
| 3079F | 31 | 31 | $0.00 | |
| 90620 | 28 | 27 | $0.00 | |
| 99384 | 19 | 12 | $0.00 | |
| 3044F | 24 | 24 | $0.00 | |
| 96160 | 480 | 463 | $0.00 | |
| 3078F | 166 | 164 | $0.00 | |
| 99173 | 126 | 126 | $0.00 | |
| 1033F | 493 | 491 | $0.00 | |
| G9920 | Scrning perf and negative | 31 | 31 | $0.00 |
| 1158F | 73 | 73 | $0.00 |