PAUL, SANTA

$762K

Total Medicaid Paid

38,333

Total Claims

36,920

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		6,210	5,665	$327K
99212		2,896	2,555	$90K
G0439	Ppps, subseq visit	1,788	1,785	$62K
90460		3,595	3,179	$50K
99394		722	719	$45K
99393		672	670	$37K
S9470	Nutritional counseling, diet	1,464	1,461	$24K
99392		345	345	$19K
G0447	Behavior counsel obesity 15m	766	766	$17K
G0445	High inten beh couns std 30m	1,100	1,098	$15K
92551		2,084	2,082	$14K
H0049	Alcohol/drug screening	538	538	$14K
99401		554	553	$13K
99406		904	902	$10K
G0444	Depression screen annual	1,007	1,006	$10K
99442		140	140	$3K
36415		1,638	1,632	$3K
99000		799	796	$2K
99408		173	173	$2K
H0001	Alcohol and/or drug assess	61	61	$944.43
G0396	Alcohol/subs interv 15-30mn	174	172	$887.53
99173		679	678	$813.73
90686		2,073	2,070	$660.67
87491		31	31	$390.00
99441		33	31	$367.13
96127		768	768	$178.95
G8510	Scr dep neg, no plan reqd	794	793	$31.20
3725F		933	931	$0.00
90461		267	240	$0.00
3016F		32	32	$0.00
90734		65	65	$0.00
G0397	Alcohol/subs interv >30 min	27	27	$0.00
G9622	No unheal etoh user	143	143	$0.00
G0438	Ppps, initial visit	59	59	$0.00
90707		24	24	$0.00
90670		15	15	$0.00
90685		14	14	$0.00
3008F		2,277	2,238	$0.00
G9275	Doc of non tobacco user	947	946	$0.00
1036F		948	946	$0.00
90651		72	71	$0.00
1000F		453	451	$0.00
90716		49	49	$0.00

Medicaid Provider Spending