NPI: 1437122926 · LANCASTER, SC 29720 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 998 | $8K |
| 2019 | 1,011 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 36415 | 361 | 248 | $14K | |
| 87804 | 44 | 42 | $5K | |
| 97110 | 74 | 25 | $2K | |
| 86900 | 13 | 13 | $2K | |
| 80307 | 29 | 25 | $2K | |
| 99283 | 108 | 105 | $1K | |
| 81003 | 158 | 147 | $845.60 | |
| 81025 | 21 | 21 | $575.14 | |
| 87430 | 33 | 33 | $350.46 | |
| 96375 | 12 | 12 | $175.10 | |
| 93005 | 89 | 75 | $145.16 | |
| 96361 | 15 | 14 | $98.45 | |
| 71046 | 13 | 13 | $49.94 | |
| 80053 | 210 | 177 | $0.00 | |
| 85025 | 362 | 262 | $0.00 | |
| 86901 | 13 | 13 | $0.00 | |
| 71045 | 13 | 13 | $0.00 | |
| 84484 | 42 | 31 | $0.00 | |
| A9270 | Non-covered item or service | 32 | 14 | $0.00 |
| 82550 | 29 | 25 | $0.00 | |
| 99285 | 27 | 25 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 16 | 15 | $0.00 |
| 87081 | 15 | 13 | $0.00 | |
| 82553 | 29 | 25 | $0.00 | |
| 96374 | 13 | 12 | $0.00 | |
| 80048 | 24 | 21 | $0.00 | |
| 85730 | 44 | 41 | $0.00 | |
| G0378 | Hospital observation per hr | 15 | 12 | $0.00 |
| 83690 | 16 | 16 | $0.00 | |
| 99284 | 79 | 78 | $0.00 | |
| 85610 | 43 | 41 | $0.00 | |
| J2405 | Ondansetron hcl injection | 17 | 16 | $0.00 |