NPI: 1407457013 · LEXINGTON, SC 29072 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 287 | $13K |
| 2022 | 768 | $36K |
| 2023 | 963 | $45K |
| 2024 | 699 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 774 | 743 | $87K | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 1,272 | 1,228 | $11K |
| 70450 | 269 | 263 | $10K | |
| 78815 | 29 | 28 | $7K | |
| 74176 | 81 | 80 | $4K | |
| 76830 | 54 | 53 | $3K | |
| 76705 | 94 | 91 | $3K | |
| 76856 | 68 | 66 | $2K | |
| 73221 | 13 | 12 | $1K | |
| 76536 | 12 | 12 | $601.22 | |
| 76801 | 12 | 12 | $436.97 | |
| 76817 | 12 | 12 | $409.61 | |
| A9577 | Inj multihance | 15 | 13 | $350.70 |
| A9578 | Inj multihance multipack | 12 | 12 | $104.26 |