FIFTY 50 MEDICAL LLC
Pharmacy — COPPELL, Texas
Total Spending
$54.7M
Total Claims
145K
Procedures Billed
15
NPI
1376797704
Yearly Spending Trend
Top Procedures
| Code | Description | Total Paid▼ | Claims |
|---|---|---|---|
| K0553 | $23.7M | 41K | |
| A9274 | Ext amb insulin delivery sys | $19.6M | 37K |
| A4239 | Non-adju cgm supply allow | $6.5M | 27K |
| A6258 | Transparent film >16<=48 in | $1.3M | 21K |
| K0554 | $1.1M | 3K | |
| E0784 | $728K | 2K | |
| A4230 | Infus insulin pump non needl | $596K | 4K |
| A4238 | Adju cgm supply allowance | $471K | 2K |
| E2103 | $343K | 1K | |
| A9276 | Disposable sensor, cgm sys | $139K | 634 |