NPI: 1104923598 · COLUMBIA, SC 29201 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,488 | $120K |
| 2020 | 2,315 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 54150 | 631 | 509 | $100K | |
| 59410 | 86 | 45 | $55K | |
| 76801 | 282 | 178 | $18K | |
| 81025 | 858 | 534 | $4K | |
| 99213 | 45 | 31 | $2K | |
| 90471 | 144 | 78 | $1K | |
| 76805 | 13 | 13 | $1K | |
| 99283 | 17 | 13 | $873.16 | |
| 90686 | 40 | 35 | $730.43 | |
| 90715 | 33 | 13 | $315.68 | |
| 0500F | 630 | 434 | $280.00 | |
| 81001 | 787 | 498 | $228.39 | |
| 36415 | 176 | 64 | $170.56 | |
| 81003 | 244 | 206 | $39.66 | |
| 81002 | 332 | 172 | $24.98 | |
| 99000 | 1,003 | 600 | $0.00 | |
| 3292F | 378 | 240 | $0.00 | |
| 3294F | 279 | 168 | $0.00 | |
| 0502F | 811 | 536 | $0.00 | |
| G8483 | Flu imm no admin doc rea | 14 | 14 | $0.00 |