NPI: 1942534839 · LOS ANGELES, CA 90004 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,162 | $290K |
| 2019 | 3,706 | $116K |
| 2020 | 498 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J3490 | Drugs unclassified injection | 820 | 690 | $87K |
| Z1034 | 1,569 | 1,022 | $86K | |
| 99212 | 760 | 620 | $69K | |
| 99211 | 657 | 554 | $40K | |
| Z1032 | 201 | 201 | $31K | |
| Z6500 | 215 | 215 | $27K | |
| Z6400 | 1,320 | 952 | $13K | |
| Z6406 | 837 | 609 | $13K | |
| Z6410 | 843 | 489 | $13K | |
| Z6204 | 1,320 | 908 | $10K | |
| Z6304 | 870 | 520 | $7K | |
| 81025 | 1,876 | 1,875 | $5K | |
| 76817 | 67 | 65 | $5K | |
| 99401 | 192 | 184 | $3K | |
| 99213 | 30 | 15 | $3K | |
| A4267 | Male condom | 182 | 181 | $2K |
| 99000 | 281 | 277 | $1K | |
| Z1038 | 12 | 12 | $658.61 | |
| S9445 | Pt education noc individ | 52 | 52 | $636.00 |
| Z6414 | 28 | 26 | $432.98 | |
| Z6208 | 30 | 28 | $231.66 | |
| Z6308 | 30 | 28 | $231.66 | |
| 97803 | 149 | 105 | $0.00 | |
| H1003 | Prenatal at risk education | 25 | 16 | $0.00 |