NPI: 1275130650 · LEXINGTON, SC 29072 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 587 | $17K |
| 2022 | 930 | $39K |
| 2023 | 1,673 | $68K |
| 2024 | 1,392 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 570 | 557 | $67K | |
| 70450 | 630 | 614 | $24K | |
| 74176 | 223 | 214 | $12K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 1,141 | 1,101 | $9K |
| 76830 | 155 | 154 | $9K | |
| 76705 | 248 | 246 | $8K | |
| 71046 | 569 | 557 | $8K | |
| 76856 | 180 | 179 | $7K | |
| 77067 | 84 | 83 | $6K | |
| 72148 | 53 | 53 | $4K | |
| 74018 | 245 | 236 | $3K | |
| 71250 | 63 | 63 | $3K | |
| 76770 | 69 | 67 | $2K | |
| 76817 | 55 | 49 | $2K | |
| 76536 | 42 | 41 | $2K | |
| 76801 | 39 | 37 | $2K | |
| 77063 | 84 | 83 | $2K | |
| A9577 | Inj multihance | 39 | 39 | $947.39 |
| A9578 | Inj multihance multipack | 50 | 50 | $816.73 |
| 76700 | 12 | 12 | $545.59 | |
| G1004 | Cdsm ndsc | 31 | 29 | $0.01 |