NPI: 1124443478 · CHARLESTON, SC 29406 · 273R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,688 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76816 | 35 | 35 | $21K | |
| 80053 | 233 | 220 | $20K | |
| 99283 | 557 | 523 | $17K | |
| 99281 | 69 | 69 | $14K | |
| U0003 | Cov-19 amp prb hgh thruput | 93 | 93 | $12K |
| 80048 | 110 | 105 | $9K | |
| 99282 | 159 | 155 | $6K | |
| 36415 | 31 | 31 | $6K | |
| 81001 | 321 | 307 | $6K | |
| 76811 | 13 | 13 | $4K | |
| 87081 | 76 | 76 | $4K | |
| 71046 | 66 | 64 | $4K | |
| 77063 | 23 | 23 | $4K | |
| 76819 | 26 | 19 | $3K | |
| 87210 | 53 | 52 | $3K | |
| G0378 | Hospital observation per hr | 27 | 21 | $3K |
| 99284 | 314 | 298 | $3K | |
| 70450 | 55 | 52 | $2K | |
| 81025 | 217 | 210 | $2K | |
| 87086 | 61 | 61 | $2K | |
| 96372 | 88 | 82 | $1K | |
| 73030 | 16 | 16 | $1K | |
| 96361 | 13 | 13 | $1K | |
| 74018 | 19 | 19 | $1K | |
| 76705 | 26 | 26 | $1K | |
| 73630 | 17 | 17 | $1K | |
| 87491 | 64 | 63 | $1K | |
| 73562 | 20 | 20 | $1K | |
| 73130 | 27 | 26 | $1K | |
| 96374 | 180 | 172 | $1K | |
| 73610 | 17 | 17 | $1K | |
| 73110 | 22 | 21 | $921.83 | |
| 85027 | 353 | 327 | $817.34 | |
| G0463 | Hospital outpt clinic visit | 68 | 54 | $717.60 |
| 87426 | 60 | 60 | $710.02 | |
| 76856 | 23 | 23 | $591.16 | |
| 72125 | 17 | 16 | $533.92 | |
| 99285 | 53 | 51 | $500.00 | |
| 71045 | 119 | 113 | $500.00 | |
| 87275 | 20 | 20 | $500.00 | |
| 88305 | 27 | 27 | $496.60 | |
| 76817 | 17 | 16 | $337.00 | |
| 72100 | 22 | 22 | $297.59 | |
| 93005 | 129 | 121 | $274.40 | |
| 85379 | 25 | 25 | $250.00 | |
| 84703 | 34 | 34 | $250.00 | |
| 73090 | 15 | 15 | $250.00 | |
| 80307 | 46 | 44 | $250.00 | |
| 87077 | 19 | 19 | $158.00 | |
| J0696 | Ceftriaxone sodium injection | 53 | 48 | $52.58 |
| 87591 | 64 | 63 | $46.28 | |
| 84702 | 18 | 18 | $42.28 | |
| S0119 | Ondansetron 4 mg | 41 | 41 | $7.71 |
| J1170 | Hydromorphone injection | 26 | 21 | $0.00 |
| 96375 | 71 | 68 | $0.00 | |
| 83605 | 14 | 14 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 59 | 52 | $0.00 |
| 87147 | 16 | 16 | $0.00 | |
| 94640 | 15 | 14 | $0.00 | |
| 83735 | 26 | 22 | $0.00 | |
| 83880 | 22 | 21 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 149 | 101 | $0.00 |
| J7512 | Prednisone ir or dr oral 1mg | 19 | 17 | $0.00 |
| J2765 | Metoclopramide hcl injection | 17 | 17 | $0.00 |
| 86901 | 18 | 18 | $0.00 | |
| 71275 | 12 | 12 | $0.00 | |
| 83036 | 18 | 18 | $0.00 | |
| J7644 | Ipratropium bromide non-comp | 18 | 17 | $0.00 |
| 83690 | 85 | 80 | $0.00 | |
| 84484 | 85 | 79 | $0.00 | |
| 85730 | 15 | 14 | $0.00 | |
| 84443 | 28 | 28 | $0.00 | |
| 87276 | 20 | 20 | $0.00 | |
| 87040 | 16 | 16 | $0.00 | |
| 85610 | 26 | 24 | $0.00 | |
| 74177 | 37 | 36 | $0.00 | |
| J2270 | Morphine sulfate injection | 38 | 34 | $0.00 |
| 84439 | 19 | 19 | $0.00 | |
| 74176 | 19 | 19 | $0.00 | |
| 10060 | 17 | 17 | $0.00 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 56 | 54 | $0.00 |
| 86900 | 18 | 18 | $0.00 | |
| 00731 | 12 | 12 | $0.00 | |
| J1200 | Diphenhydramine hcl injectio | 25 | 23 | $0.00 |
| J2405 | Ondansetron hcl injection | 98 | 88 | $0.00 |
| 29125 | 12 | 12 | $0.00 | |
| 87880 | 62 | 62 | $0.00 | |
| 43239 | 13 | 13 | $0.00 | |
| 77067 | 23 | 23 | $0.00 | |
| 87186 | 20 | 20 | $0.00 | |
| J7030 | Normal saline solution infus | 111 | 107 | $0.00 |
| J2550 | Promethazine hcl injection | 16 | 14 | $0.00 |
| J7120 | Ringers lactate infusion | 46 | 41 | $0.00 |