STATE OF SOUTH CAROLINA
NPI: 1144318262
· AIKEN, SC 29801
· 251K00000X
$776K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,183 |
$151K |
| 2019 |
5,178 |
$182K |
| 2020 |
2,860 |
$97K |
| 2021 |
3,494 |
$118K |
| 2022 |
2,682 |
$89K |
| 2023 |
2,513 |
$76K |
| 2024 |
1,954 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,644 |
6,243 |
$468K |
| 99212 |
|
3,234 |
3,206 |
$90K |
| 99204 |
|
368 |
368 |
$40K |
| 99213 |
|
814 |
808 |
$38K |
| 99202 |
|
809 |
806 |
$38K |
| 81025 |
|
5,028 |
4,939 |
$33K |
| J1050 |
Medroxyprogesterone acetate |
2,138 |
2,129 |
$29K |
| 99201 |
|
555 |
548 |
$15K |
| 90460 |
|
661 |
654 |
$11K |
| Q0111 |
Wet mounts/ w preparations |
2,273 |
2,232 |
$7K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$5K |
| 90461 |
|
74 |
74 |
$1K |
| S4993 |
Contraceptive pills for bc |
13 |
13 |
$169.67 |
| 90715 |
|
104 |
104 |
$149.50 |
| J0696 |
Ceftriaxone sodium injection |
81 |
77 |
$63.31 |
| 90686 |
|
13 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |