NPI: 1053557793 · SUFFOLK, VA 23435 · 261QA1903X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 380 | $17K |
| 2022 | 785 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | 146 | 145 | $19K | |
| 99284 | 90 | 82 | $10K | |
| 99282 | 27 | 27 | $4K | |
| 99285 | 27 | 27 | $4K | |
| 77067 | 86 | 86 | $3K | |
| 76642 | 14 | 12 | $825.17 | |
| U0003 | Cov-19 amp prb hgh thruput | 34 | 34 | $483.63 |
| 71046 | 35 | 34 | $444.65 | |
| 80053 | 68 | 68 | $367.90 | |
| 87591 | 18 | 18 | $240.97 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 17 | 17 | $174.44 |
| 93005 | 51 | 49 | $135.00 | |
| 80048 | 29 | 29 | $130.76 | |
| 85025 | 93 | 92 | $61.89 | |
| 77063 | 63 | 63 | $46.42 | |
| 87491 | 18 | 18 | $41.67 | |
| 96374 | 47 | 45 | $40.50 | |
| 84484 | 23 | 20 | $32.35 | |
| 83735 | 13 | 12 | $20.25 | |
| U0005 | Infec agen detec ampli probe | 32 | 32 | $17.60 |
| J7030 | Normal saline solution infus | 45 | 43 | $14.88 |
| 81025 | 47 | 46 | $12.60 | |
| 83690 | 19 | 19 | $11.80 | |
| 81001 | 59 | 58 | $11.68 | |
| 87210 | 15 | 15 | $7.90 | |
| 81003 | 15 | 14 | $5.60 | |
| J2405 | Ondansetron hcl injection | 19 | 17 | $0.78 |
| 96375 | 15 | 14 | $0.00 |