NPI: 1437159365 · SUMTER, SC 29150 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,407 | $111K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 672 | 594 | $56K | |
| 99214 | 104 | 93 | $13K | |
| 99392 | 84 | 84 | $10K | |
| 99393 | 67 | 67 | $8K | |
| 99391 | 59 | 59 | $7K | |
| 99394 | 45 | 45 | $6K | |
| 90461 | 112 | 112 | $3K | |
| 90460 | 163 | 163 | $2K | |
| 87880 | 116 | 113 | $2K | |
| 85025 | 151 | 142 | $1K | |
| 81000 | 162 | 160 | $599.43 | |
| 94640 | 36 | 32 | $510.12 | |
| 87430 | 30 | 30 | $407.30 | |
| 85018 | 164 | 164 | $388.68 | |
| 96372 | 37 | 34 | $169.95 | |
| 96160 | 17 | 17 | $166.09 | |
| 83655 | 12 | 12 | $151.08 | |
| 99070 | 13 | 12 | $92.88 | |
| J0696 | Ceftriaxone sodium injection | 35 | 32 | $87.61 |
| 90670 | 52 | 52 | $0.00 | |
| 90633 | 29 | 29 | $0.00 | |
| 90700 | 19 | 19 | $0.00 | |
| 92551 | 132 | 132 | $0.00 | |
| 94760 | 47 | 39 | $0.00 | |
| 90698 | 25 | 25 | $0.00 | |
| 90651 | 12 | 12 | $0.00 | |
| 90680 | 12 | 12 | $0.00 |