STATE OF SOUTH CAROLINA
NPI: 1841375128
· LEXINGTON, SC 29073
· 251K00000X
$679K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,761 |
$177K |
| 2019 |
5,241 |
$145K |
| 2020 |
2,823 |
$83K |
| 2021 |
2,195 |
$62K |
| 2022 |
3,204 |
$85K |
| 2023 |
2,715 |
$75K |
| 2024 |
1,849 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,103 |
4,923 |
$356K |
| 99212 |
|
2,853 |
2,837 |
$79K |
| 99204 |
|
365 |
363 |
$40K |
| 90460 |
|
2,500 |
2,446 |
$39K |
| 99202 |
|
698 |
694 |
$33K |
| 99213 |
|
696 |
691 |
$33K |
| 81025 |
|
4,784 |
4,740 |
$31K |
| J1050 |
Medroxyprogesterone acetate |
2,058 |
2,048 |
$27K |
| 90461 |
|
667 |
659 |
$13K |
| 99201 |
|
453 |
452 |
$13K |
| Q0111 |
Wet mounts/ w preparations |
1,761 |
1,739 |
$6K |
| H1001 |
Antepartum management |
24 |
13 |
$4K |
| T1001 |
Nursing assessment/evaluatn |
19 |
13 |
$3K |
| 90715 |
|
340 |
337 |
$642.38 |
| S4993 |
Contraceptive pills for bc |
38 |
37 |
$421.59 |
| 90686 |
|
795 |
778 |
$326.60 |
| 90651 |
|
239 |
236 |
$259.98 |
| 90734 |
|
164 |
164 |
$218.55 |
| J0696 |
Ceftriaxone sodium injection |
66 |
66 |
$47.82 |
| 90633 |
|
58 |
58 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90672 |
|
46 |
46 |
$0.00 |
| 90619 |
|
37 |
37 |
$0.00 |