KALAFATIC, MARIA

$700K

Total Medicaid Paid

43,566

Total Claims

42,814

Beneficiaries

46

Codes Billed

2018-01

First Month

2023-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		4,651	4,241	$264K
99212		3,174	2,976	$115K
99394		805	804	$64K
90460		2,435	2,412	$60K
99393		808	807	$59K
92552		2,559	2,550	$55K
H0049	Alcohol/drug screening	1,242	1,238	$21K
99392		144	143	$11K
96127		3,202	3,191	$9K
90461		197	197	$8K
97802		488	487	$6K
99442		156	147	$5K
G0447	Behavior counsel obesity 15m	228	226	$4K
96110		961	958	$3K
36415		2,763	2,746	$3K
S9452	Nutrition class	282	281	$2K
90686		832	829	$2K
S9451	Exercise class	304	303	$2K
99395		24	24	$1K
99173		1,508	1,504	$1K
G8510	Scr dep neg, no plan reqd	878	874	$1K
G9820	Doc chlam scr test w/follow	986	983	$896.50
99401		33	33	$704.76
H0001	Alcohol and/or drug assess	43	42	$577.30
99441		42	40	$505.30
G9153	Mapcp demo physician	664	664	$408.10
G0445	High inten beh couns std 30m	12	12	$213.90
G0444	Depression screen annual	15	15	$178.00
86580		15	15	$92.92
4293F		548	545	$0.00
G8420	Calc bmi norm parameters	1,332	1,331	$0.00
1036F		385	384	$0.00
96161		1,675	1,672	$0.00
1000F		418	416	$0.00
3008F		2,196	2,191	$0.00
90651		28	28	$0.00
G8419	Calc bmi out nrm param nof/u	13	13	$0.00
G9622	No unheal etoh user	1,006	1,004	$0.00
96160		3,111	3,103	$0.00
1159F		543	539	$0.00
3725F		993	988	$0.00
3016F		991	986	$0.00
1160F		544	540	$0.00
83655		277	277	$0.00
G8417	Calc bmi abv up param f/u	41	41	$0.00
90734		14	14	$0.00

Medicaid Provider Spending