CAPOBIANCO, LEO

$2.81M

Total Medicaid Paid

67,928

Total Claims

52,524

Beneficiaries

45

Codes Billed

2018-01

First Month

2023-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		27,030	19,435	$1.51M
99214		4,162	3,517	$331K
99204		2,772	2,400	$239K
99385		1,909	1,624	$164K
99203		2,435	2,136	$155K
99386		916	773	$91K
G0438	Ppps, initial visit	1,120	1,006	$86K
96372		2,725	1,844	$53K
99401		6,902	4,851	$40K
95004		163	133	$39K
99211		1,649	1,029	$22K
G0444	Depression screen annual	3,514	3,032	$16K
80305		2,169	1,831	$13K
G0442	Annual alcohol screen 15 min	3,436	2,955	$13K
93000		686	621	$8K
90471		342	288	$6K
36415		1,533	1,300	$4K
99395		48	39	$4K
99058		766	576	$3K
99396		38	25	$3K
99212		105	52	$2K
87502		74	57	$1K
G0446	Intens behave ther cardio dx	110	88	$1K
G0101	Ca screen;pelvic/breast exam	44	43	$1K
90688		93	90	$1K
81003		1,519	1,343	$1K
J3301	Triamcinolone acet inj nos	208	181	$779.02
90716		14	14	$778.24
87651		50	39	$673.48
81025		159	142	$648.19
90472		32	32	$626.49
J1885	Ketorolac tromethamine inj	126	116	$547.47
90715		15	14	$399.58
Q0091	Obtaining screen pap smear	42	41	$394.80
J1100	Dexamethasone sodium phos	180	161	$321.13
87804		33	17	$289.53
87880		17	16	$159.94
90668		19	15	$133.32
G0447	Behavior counsel obesity 15m	17	13	$70.32
96127		44	30	$19.28
80306		66	58	$10.01
99000		462	394	$0.00
96160		44	30	$0.00
99497		62	58	$0.00
99080		78	65	$0.00

Medicaid Provider Spending