TARSHA, THANA

$751K

Total Medicaid Paid

17,132

Total Claims

10,628

Beneficiaries

21

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
0502F		4,874	2,568	$241K
59514		171	151	$167K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,435	1,145	$114K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	926	589	$77K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	573	429	$37K
99252		472	391	$15K
99221		354	285	$15K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	196	188	$15K
99238	Hospital discharge day management, 30 minutes or less	452	388	$12K
99231	Subsequent hospital care, per day, straightforward or low complexity	746	419	$11K
0500F		204	171	$10K
0503F		188	162	$9K
81002		4,186	2,232	$9K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	124	102	$8K
59025	Fetal non-stress test	739	382	$7K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	60	58	$3K
96127		45	43	$674.23
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	18	16	$468.89
90686		22	13	$412.73
4004F		339	238	$0.00
1036F		1,008	658	$0.00

Medicaid Provider Spending