NPI: 1083962278 · SOUTH BURLINGTON, VT 05403 · 207VX0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,570 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 320 | 309 | $11K | |
| J1050 | Medroxyprogesterone acetate | 161 | 137 | $5K |
| 99214 | 162 | 152 | $5K | |
| 99201 | 134 | 131 | $2K | |
| 99202 | 77 | 76 | $2K | |
| 99211 | 191 | 187 | $1K | |
| 99212 | 43 | 42 | $1K | |
| J3490 | Drugs unclassified injection | 52 | 52 | $1K |
| 87491 | 94 | 90 | $1K | |
| 87591 | 91 | 88 | $1K | |
| 81025 | 316 | 310 | $1K | |
| 83986 | 205 | 195 | $224.82 | |
| 36415 | 45 | 39 | $48.42 | |
| Q0144 | Azithromycin dihydrate, oral | 14 | 12 | $0.00 |
| 0502F | 16 | 14 | $0.00 | |
| Q0111 | Wet mounts/ w preparations | 226 | 212 | $0.00 |
| 99000 | 423 | 409 | $0.00 |