NPI: 1689018947 · JERSEY CITY, NJ 07306 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,038 | $288K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 821 | 117 | $146K | |
| 90935 | 602 | 56 | $36K | |
| A4657 | Syringe w/wo needle | 691 | 90 | $18K |
| 85018 | 280 | 111 | $14K | |
| 84100 | 188 | 100 | $11K | |
| 82310 | 174 | 97 | $9K | |
| 84520 | 226 | 96 | $8K | |
| 85025 | 102 | 102 | $5K | |
| 87340 | 95 | 95 | $5K | |
| 82040 | 94 | 94 | $5K | |
| 80051 | 88 | 88 | $5K | |
| 82565 | 95 | 94 | $5K | |
| 84460 | 103 | 103 | $5K | |
| 84450 | 98 | 97 | $5K | |
| 83540 | 105 | 104 | $5K | |
| 84155 | 102 | 102 | $4K | |
| 84466 | 62 | 62 | $2K | |
| 82728 | 20 | 20 | $994.00 | |
| 84075 | 19 | 19 | $994.00 | |
| 83970 | 24 | 21 | $994.00 | |
| J1756 | Iron sucrose injection | 49 | 12 | $0.00 |