NPI: 1558473397 · SYLACAUGA, AL 35150 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,374 | $47K |
| 2020 | 1,343 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 2,373 | 184 | $98K | |
| 85018 | 39 | 12 | $48.58 | |
| 84520 | 24 | 12 | $46.40 | |
| 85025 | 12 | 12 | $43.04 | |
| 80051 | 12 | 12 | $37.64 | |
| 83540 | 12 | 12 | $30.92 | |
| 82310 | 17 | 12 | $30.25 | |
| 82565 | 12 | 12 | $26.88 | |
| 82040 | 12 | 12 | $24.24 | |
| 84100 | 12 | 12 | $18.80 | |
| 84155 | 12 | 12 | $16.16 | |
| A4657 | Syringe w/wo needle | 167 | 25 | $8.50 |
| G0008 | Admin influenza virus vac | 13 | 12 | $0.00 |