NPI: 1871611806 · NEWARK, OH 43055 · 363LW0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,549 | $82K |
| 2024 | 1,101 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J1050 | Medroxyprogesterone acetate | 432 | 426 | $35K |
| 99214 | 541 | 511 | $32K | |
| 99403 | 334 | 328 | $19K | |
| 99213 | 369 | 339 | $15K | |
| A4268 | Female condom | 634 | 605 | $9K |
| 99204 | 51 | 50 | $4K | |
| 96372 | 160 | 158 | $2K | |
| 87801 | 124 | 119 | $2K | |
| S4993 | Contraceptive pills for bc | 52 | 49 | $1K |
| 81025 | 184 | 171 | $1K | |
| 87491 | 321 | 310 | $640.00 | |
| 87210 | 148 | 144 | $611.99 | |
| 87591 | 300 | 288 | $460.00 |