Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

SC#44 of 49 states

South Carolina Medicaid Spending

South Carolina's Medicaid program paid $601.3M across 3 providers from 2018–2024. 17 providers in South Carolina are flagged on our risk watchlist. The top procedure code is 99213 (Office/outpatient visit, est. patient, low-mod complexity) at $44.8M.

Total Spending

$601.3M

Total Claims

12.7M

Top Providers

3

Beneficiaries

10.7M

Top Procedure

99213

$44.8M

Flagged Providers

17

on risk watchlist

Avg Per Provider

$200.4M

across 3 providers

Yearly Spending Trend

Spending by Top Procedures

99213Office/outpatient visit, est. patient, low-mod complexity$44.8M
99214Office/outpatient visit, est. patient, mod-high complexity$40.8M
80053Comprehensive metabolic panel$33.1M
36415Collection of venous blood by venipuncture$19.3M
Q9967Low osmolar contrast material, 300-399 mg iodine/ml, per ml$19.3M

Top Procedures in South Carolina

CodeTotal Paid
99213

Office/outpatient visit, est. patient, low-mod complexity

$44.8M
99214

Office/outpatient visit, est. patient, mod-high complexity

$40.8M
80053

Comprehensive metabolic panel

$33.1M
36415

Collection of venous blood by venipuncture

$19.3M
Q9967

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$19.3M
99212

Office/outpatient visit, low complexity

$18.5M
99211

Office/outpatient visit, minimal complexity

$17.1M
99284

Emergency dept visit, high complexity

$15.9M
99283

Emergency dept visit, moderate complexity

$14.6M
96372

Therapeutic injection, subcutaneous/intramuscular

$12.2M
J7040

Normal saline solution infusion, 500 cc

$9.0M
80048

Basic metabolic panel

$8.6M
99285

Emergency dept visit, high/urgent complexity

$8.3M
J7030

Normal saline solution infusion, 1000 cc

$8.3M
97110

Therapeutic exercises, each 15 min

$8.1M