TORY PRESTERA MD INC.

$14.34M

Total Medicaid Paid

123,865

Total Claims

116,792

Beneficiaries

44

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
J0178	Aflibercept injection	1,723	1,446	$2.72M
67028		8,566	7,107	$2.58M
J2777	Inj, faricimab-svoa, 0.1mg	1,377	1,139	$2.42M
66984		2,288	2,237	$1.86M
68761		5,794	3,477	$651K
99214		14,046	13,921	$572K
92250		14,762	14,654	$569K
92134		14,397	13,990	$436K
99204		5,242	5,228	$418K
J9035	Bevacizumab injection	4,095	3,483	$282K
67228		947	803	$276K
99213		10,153	9,514	$269K
92133		7,764	7,717	$239K
92083		5,861	5,830	$162K
92014		4,311	4,262	$154K
92012		4,626	4,346	$151K
92235		1,642	1,639	$123K
92136		2,650	2,553	$117K
99244		554	554	$52K
76514		4,863	4,845	$50K
99203		733	728	$49K
92020		2,883	2,848	$46K
66821		211	185	$32K
92015		1,406	1,391	$20K
99205	Prolong outpt/office vis	201	201	$19K
92025		600	599	$16K
99243		198	198	$13K
67210		32	27	$11K
99212		542	506	$10K
99215	Prolong outpt/office vis	168	167	$10K
92004		114	113	$7K
G2211	Complex e/m visit add on	832	817	$5K
65855		15	12	$3K
92225		18	12	$888.58
92201		35	29	$668.61
76512		17	15	$605.30
92081		13	13	$305.83
G8752	Sys bp less 140	15	15	$0.00
G8427	Docrev cur meds by elig clin	97	97	$0.00
G9974	Mac exam perf	14	14	$0.00
0517F		14	14	$0.00
3284F		14	14	$0.00
G9903	Pt scrn tbco id as non user	16	16	$0.00
G8754	Dias bp less 90	16	16	$0.00

Medicaid Provider Spending