BRADFORD, JENNIFER

$1.50M

Total Medicaid Paid

39,317

Total Claims

37,780

Beneficiaries

50

Codes Billed

2020-11

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		8,275	7,610	$488K
99214		4,845	4,499	$308K
99392		1,292	1,289	$141K
99393		1,288	1,283	$126K
99394		1,004	984	$102K
99051		3,788	3,664	$98K
99391		842	827	$83K
87880		2,752	2,679	$38K
87428		1,194	1,160	$37K
U0002	Covid-19 lab test non-cdc	420	410	$17K
92551		3,002	2,976	$16K
99173		3,001	2,972	$16K
99215	Prolong outpt/office vis	109	103	$10K
G0009	Admin pneumococcal vaccine	280	280	$3K
G0008	Admin influenza virus vac	235	235	$3K
96161		501	497	$2K
G2023	Specimen collect covid-19	99	98	$2K
90749		109	108	$1K
99072		136	131	$1K
96127		1,180	1,159	$1K
99188		46	46	$962.28
G0444	Depression screen annual	58	58	$769.17
87426		30	29	$766.65
96160		1,355	1,335	$645.05
96110		648	638	$538.31
90698		305	273	$519.75
90670		365	331	$519.75
90680		120	114	$346.50
90633		163	163	$265.65
90686		144	144	$231.00
90688		134	111	$231.00
90651		142	133	$196.35
90744		41	41	$161.70
81002		39	39	$156.46
90619		131	131	$103.95
90734		17	12	$80.85
90677		68	60	$0.00
90697		14	14	$0.00
G8510	Scr dep neg, no plan reqd	272	271	$0.00
90620		27	27	$0.00
90696		13	13	$0.00
90716		12	12	$0.00
G9920	Scrning perf and negative	450	450	$0.00
90710		26	26	$0.00
83655		95	95	$0.00
G9919	Scrn nd pos nd prov of rec	13	13	$0.00
80061		96	96	$0.00
G8431	Pos clin depres scrn f/u doc	25	25	$0.00
90715		52	52	$0.00
90661		64	64	$0.00

Medicaid Provider Spending