EKO-ISENALUMHE, IMHONA

$1.05M

Total Medicaid Paid

76,097

Total Claims

56,938

Beneficiaries

59

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		19,015	13,399	$484K
99213		9,940	7,958	$145K
93306		1,648	1,246	$102K
93880		1,704	1,277	$51K
93925		1,073	758	$41K
93931		1,705	1,279	$34K
93978		1,063	753	$27K
80305		6,744	4,225	$20K
93000		2,402	1,915	$16K
92546		699	529	$14K
80307		5,716	4,751	$14K
94060		1,083	523	$14K
93922		1,079	767	$13K
92542		698	529	$9K
99203		228	169	$9K
94729		864	318	$8K
99407		809	689	$8K
94726		913	318	$8K
95923		219	194	$6K
95957		188	149	$5K
95816		188	149	$4K
94727		837	318	$4K
94760		861	785	$3K
36415		4,004	3,030	$3K
95004		18	18	$2K
95921		47	41	$2K
92547		699	529	$1K
G0439	Ppps, subseq visit	309	258	$523.94
96132		188	149	$402.87
95930		188	149	$330.07
99490	Ccm add 20min	69	69	$294.71
95943		27	25	$231.36
96125		33	17	$148.88
99406		27	27	$130.15
96138		187	148	$108.82
99212		18	13	$106.40
1160F		31	26	$70.00
1159F		31	26	$70.00
1125F		33	29	$30.00
1111F		530	509	$20.00
20553		15	15	$2.76
81003		15	12	$2.25
G8417	Calc bmi abv up param f/u	2,054	1,844	$0.00
G8427	Docrev cur meds by elig clin	2,875	2,527	$0.00
G8752	Sys bp less 140	176	170	$0.00
4040F		325	293	$0.00
94664		46	44	$0.00
G8482	Flu immunize order/admin	243	214	$0.00
3288F		674	613	$0.00
92585		188	149	$0.00
G8539	Doc funct and care plan	13	13	$0.00
1100F		27	27	$0.00
G8730	Pain doc pos and plan	649	620	$0.00
1158F		33	17	$0.00
G9906	Pt recv tbco cess interv	480	387	$0.00
G9902	Pt scrn tbco and id as user	1,815	1,590	$0.00
G8952	Pre-htn/htn, no f/u, not gvn	163	158	$0.00
G8754	Dias bp less 90	177	171	$0.00
96127		14	13	$0.00

Medicaid Provider Spending