STATE OF SOUTH CAROLINA
NPI: 1689757239
· MANNING, SC 29102
· 251K00000X
$147K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,977 |
$55K |
| 2019 |
1,548 |
$48K |
| 2020 |
534 |
$18K |
| 2021 |
324 |
$10K |
| 2022 |
268 |
$6K |
| 2023 |
210 |
$7K |
| 2024 |
57 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,384 |
1,314 |
$96K |
| 99212 |
|
690 |
687 |
$19K |
| J1050 |
Medroxyprogesterone acetate |
429 |
427 |
$8K |
| 99213 |
|
181 |
178 |
$8K |
| 90460 |
|
532 |
522 |
$8K |
| 81025 |
|
1,061 |
1,039 |
$7K |
| Q0111 |
Wet mounts/ w preparations |
285 |
280 |
$904.38 |
| 90461 |
|
40 |
40 |
$882.70 |
| 90686 |
|
304 |
295 |
$131.36 |
| S4993 |
Contraceptive pills for bc |
12 |
12 |
$110.35 |