STATE OF SOUTH CAROLINA
NPI: 1376627927
· KINGSTREE, SC 29556
· 251K00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,007 |
$29K |
| 2019 |
949 |
$26K |
| 2020 |
233 |
$6K |
| 2021 |
171 |
$4K |
| 2022 |
276 |
$6K |
| 2023 |
649 |
$17K |
| 2024 |
102 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
680 |
636 |
$47K |
| 99212 |
|
742 |
728 |
$21K |
| J1050 |
Medroxyprogesterone acetate |
500 |
496 |
$9K |
| 81025 |
|
845 |
826 |
$5K |
| 90460 |
|
333 |
330 |
$5K |
| 99213 |
|
96 |
93 |
$4K |
| 90461 |
|
12 |
12 |
$214.37 |
| 90672 |
|
14 |
14 |
$0.00 |
| 90686 |
|
165 |
161 |
$0.00 |