STATE OF SOUTH CAROLINA
NPI: 1770668261
· RIDGELAND, SC 29936
· 251K00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
597 |
$20K |
| 2019 |
398 |
$13K |
| 2020 |
141 |
$4K |
| 2021 |
82 |
$3K |
| 2022 |
81 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
475 |
466 |
$33K |
| 99212 |
|
177 |
175 |
$5K |
| 81025 |
|
516 |
464 |
$2K |
| J1050 |
Medroxyprogesterone acetate |
49 |
49 |
$1K |
| 99213 |
|
19 |
18 |
$891.05 |
| 90460 |
|
34 |
32 |
$416.13 |
| 99188 |
|
12 |
12 |
$194.40 |
| 90686 |
|
17 |
17 |
$0.00 |