NPI: 1861550667 · JOHNSON CITY, TN 37604 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,934 | $59K |
| 2019 | 1,549 | $32K |
| 2020 | 1,300 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 964 | 939 | $30K | |
| 99401 | 949 | 862 | $27K | |
| 99392 | 343 | 341 | $25K | |
| 96110 | 878 | 847 | $10K | |
| 99391 | 108 | 105 | $7K | |
| 94250 | 306 | 257 | $6K | |
| T2028 | Special supply, nos waiver | 170 | 146 | $5K |
| 92551 | 176 | 161 | $1K | |
| 81025 | 189 | 175 | $1K | |
| 99381 | 16 | 15 | $980.16 | |
| 99393 | 13 | 13 | $975.87 | |
| 36416 | 306 | 295 | $667.59 | |
| 99071 | 242 | 210 | $636.74 | |
| 83655 | 44 | 42 | $511.35 | |
| 90686 | 526 | 521 | $265.00 | |
| 99177 | 26 | 25 | $146.45 | |
| 96127 | 35 | 31 | $137.93 | |
| 99173 | 45 | 39 | $124.24 | |
| 90716 | 63 | 62 | $115.17 | |
| 85018 | 28 | 28 | $72.26 | |
| 90707 | 50 | 49 | $64.03 | |
| 99070 | 57 | 47 | $0.00 | |
| 90696 | 17 | 17 | $0.00 | |
| 90461 | 203 | 194 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 90670 | 17 | 17 | $0.00 |