SGOH ACQUISITION INC

$2.85M

Total Medicaid Paid

89,819

Total Claims

79,252

Beneficiaries

61

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		57,262	50,844	$1.94M
99214		11,815	10,972	$564K
90834		2,405	1,670	$135K
99393		482	436	$34K
99394		409	380	$30K
99215	Prolong outpt/office vis	332	292	$20K
99406		3,967	3,533	$20K
99203		318	310	$18K
99392		224	185	$13K
94060		1,792	1,358	$13K
94726		1,153	828	$8K
94729		1,099	794	$7K
99212		310	265	$6K
99205	Prolong outpt/office vis	43	40	$3K
71046		810	521	$3K
99490	Ccm add 20min	312	302	$3K
H0049	Alcohol/drug screening	311	301	$3K
90791		63	57	$3K
Y7506		16	14	$3K
99204		43	43	$3K
96101		43	43	$2K
62323		25	25	$2K
87880		17	17	$2K
99211		164	117	$2K
90833		186	177	$2K
96111		28	28	$2K
90672		241	240	$1K
94664		313	294	$1K
99396		29	29	$1K
99395		28	27	$973.63
99354		12	12	$871.18
99232		29	13	$822.08
96372		670	583	$817.17
99152		42	38	$799.49
91200		44	37	$736.44
90710		48	47	$708.29
90686		227	221	$680.27
90715		40	39	$603.78
90734		111	109	$545.70
90471		90	88	$347.79
90670		64	64	$320.00
90836		26	25	$206.27
90832		179	164	$200.18
90697		13	13	$195.91
90696		12	12	$180.84
99407		16	16	$160.11
94618		20	13	$139.86
90785		82	78	$92.94
90621		12	12	$60.35
J1040	Methylprednisolone 80 mg inj	15	15	$36.10
36415		72	69	$28.71
99070		713	671	$1.54
G8427	Docrev cur meds by elig clin	1,269	1,065	$0.02
3074F		140	140	$0.00
G0442	Annual alcohol screen 15 min	74	72	$0.00
3079F		141	140	$0.00
G0008	Admin influenza virus vac	33	32	$0.00
3075F		47	47	$0.00
G0444	Depression screen annual	1,100	1,042	$0.00
3078F		147	144	$0.00
3077F		91	89	$0.00

Medicaid Provider Spending