NPI: 1063475192 · CONWAY, SC 29526 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $0.00 |
| 2019 | 18 | $0.00 |
| 2020 | 85 | $0.00 |
| 2021 | 2,914 | $0.00 |
| 2022 | 4,902 | $0.00 |
| 2023 | 4,781 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90630 | 145 | 145 | $0.00 | |
| 90756 | 312 | 311 | $0.00 | |
| 90653 | 396 | 395 | $0.00 | |
| 90662 | 3,117 | 2,941 | $0.00 | |
| 91300 | 897 | 888 | $0.00 | |
| 90670 | 103 | 103 | $0.00 | |
| 0002A | 81 | 79 | $0.00 | |
| 90672 | 210 | 210 | $0.00 | |
| 91320 | 837 | 826 | $0.00 | |
| 91322 | 332 | 318 | $0.00 | |
| 90686 | 562 | 546 | $0.00 | |
| 0001A | 17 | 17 | $0.00 | |
| 90732 | 248 | 245 | $0.00 | |
| 0011A | 46 | 46 | $0.00 | |
| 90677 | 1,329 | 1,311 | $0.00 | |
| 91309 | 45 | 45 | $0.00 | |
| 90674 | 1,255 | 1,247 | $0.00 | |
| Q2036 | Flulaval vacc, 3 yrs & >, im | 132 | 132 | $0.00 |
| 91306 | 375 | 373 | $0.00 | |
| 90688 | 524 | 523 | $0.00 | |
| 90694 | 1,273 | 1,257 | $0.00 | |
| 91301 | 435 | 432 | $0.00 | |
| 91305 | 43 | 43 | $0.00 |