NPI: 1235283623 · JACKSON, TN 38301 · 2083P0901X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 93,936 | $1.82M |
| 2019 | 105,675 | $2.23M |
| 2020 | 45,381 | $909K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 22,797 | 21,345 | $921K | |
| 99392 | 10,358 | 9,409 | $738K | |
| 99391 | 9,273 | 8,892 | $588K | |
| 99381 | 4,670 | 4,404 | $359K | |
| 99401 | 9,788 | 8,582 | $277K | |
| 96110 | 25,324 | 23,555 | $269K | |
| 99395 | 2,212 | 1,856 | $158K | |
| J7307 | Etonogestrel implant system | 481 | 378 | $157K |
| 99402 | 2,927 | 2,568 | $144K | |
| 96372 | 8,235 | 7,290 | $126K | |
| 90651 | 4,736 | 4,372 | $122K | |
| 99213 | 3,374 | 2,464 | $114K | |
| 99393 | 1,531 | 1,435 | $112K | |
| 99394 | 1,224 | 1,106 | $99K | |
| 99212 | 2,515 | 2,163 | $64K | |
| 99214 | 1,490 | 1,313 | $63K | |
| 99383 | 541 | 502 | $47K | |
| 99384 | 482 | 432 | $46K | |
| 81025 | 8,679 | 7,330 | $45K | |
| 92551 | 5,623 | 5,064 | $40K | |
| 99382 | 450 | 379 | $38K | |
| 94250 | 1,685 | 1,294 | $30K | |
| 90734 | 3,607 | 3,436 | $27K | |
| T2028 | Special supply, nos waiver | 896 | 750 | $26K |
| 90632 | 574 | 472 | $26K | |
| 85018 | 9,385 | 8,321 | $23K | |
| 99203 | 383 | 298 | $23K | |
| 90471 | 3,333 | 2,843 | $22K | |
| 90715 | 3,533 | 3,328 | $21K | |
| 90716 | 4,981 | 4,500 | $21K | |
| 99177 | 2,986 | 2,751 | $21K | |
| 36416 | 10,152 | 9,022 | $19K | |
| 11981 | 212 | 169 | $19K | |
| 96127 | 4,663 | 4,155 | $18K | |
| 99202 | 389 | 343 | $17K | |
| 11982 | 162 | 131 | $17K | |
| 90746 | 373 | 297 | $15K | |
| 36415 | 6,651 | 5,619 | $12K | |
| 99173 | 4,046 | 3,617 | $11K | |
| 90688 | 1,540 | 1,345 | $11K | |
| 87210 | 2,639 | 2,196 | $9K | |
| 90670 | 6,343 | 5,774 | $9K | |
| 90707 | 4,857 | 4,377 | $7K | |
| 99407 | 316 | 266 | $5K | |
| 99211 | 256 | 221 | $4K | |
| 90472 | 784 | 622 | $4K | |
| 99071 | 1,172 | 909 | $3K | |
| 96160 | 328 | 273 | $3K | |
| 99385 | 35 | 26 | $3K | |
| 90686 | 7,138 | 6,826 | $2K | |
| 90696 | 2,508 | 2,313 | $2K | |
| 90633 | 5,106 | 4,603 | $1K | |
| 90723 | 4,448 | 4,146 | $571.84 | |
| 90681 | 2,337 | 2,221 | $549.90 | |
| 90647 | 5,125 | 4,676 | $410.04 | |
| 90700 | 2,188 | 1,978 | $201.42 | |
| 90713 | 71 | 69 | $29.71 | |
| 90461 | 12,653 | 11,749 | $0.00 | |
| 99070 | 123 | 84 | $0.00 | |
| G0008 | Admin influenza virus vac | 50 | 38 | $0.00 |
| 90744 | 32 | 28 | $0.00 | |
| 99000 | 222 | 186 | $0.00 |