NPI: 1881640399 · LOS ANGELES, CA 90033 · 207RI0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,716 | $7K |
| 2019 | 3,161 | $3K |
| 2021 | 571 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87491 | 567 | 565 | $4K | |
| 87591 | 555 | 553 | $4K | |
| 99211 | 212 | 178 | $1K | |
| 87806 | 25 | 25 | $655.25 | |
| A4267 | Male condom | 25 | 24 | $298.25 |
| 36415 | 779 | 758 | $0.00 | |
| 99213 | 1,266 | 742 | $0.00 | |
| 83036 | 381 | 381 | $0.00 | |
| 99441 | 32 | 29 | $0.00 | |
| 86593 | 449 | 447 | $0.00 | |
| 87536 | 145 | 145 | $0.00 | |
| 80053 | 969 | 956 | $0.00 | |
| 90471 | 177 | 175 | $0.00 | |
| 85025 | 619 | 615 | $0.00 | |
| 87624 | 12 | 12 | $0.00 | |
| 81001 | 293 | 291 | $0.00 | |
| 86706 | 134 | 134 | $0.00 | |
| 99214 | 22 | 14 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 226 | 225 | $0.00 |
| 99202 | 28 | 15 | $0.00 | |
| 87340 | 106 | 106 | $0.00 | |
| 88187 | 148 | 148 | $0.00 | |
| 81015 | 12 | 12 | $0.00 | |
| 85027 | 30 | 30 | $0.00 | |
| 82306 | 62 | 62 | $0.00 | |
| 88142 | 12 | 12 | $0.00 | |
| 1220F | 12 | 12 | $0.00 | |
| 99443 | 20 | 19 | $0.00 | |
| 99212 | 1,278 | 690 | $0.00 | |
| 80061 | 418 | 418 | $0.00 | |
| 86705 | 104 | 104 | $0.00 | |
| 86703 | 105 | 105 | $0.00 | |
| 86708 | 16 | 16 | $0.00 | |
| 90653 | 12 | 12 | $0.00 | |
| 86480 | 28 | 28 | $0.00 | |
| 99442 | 28 | 27 | $0.00 | |
| 82248 | 50 | 50 | $0.00 | |
| 99203 | 28 | 16 | $0.00 | |
| 99204 | 63 | 33 | $0.00 |