LESICKA, HANNA

$727K

Total Medicaid Paid

26,211

Total Claims

24,100

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		2,784	2,443	$283K
99213		3,866	3,378	$278K
90460		1,546	1,494	$31K
92552		1,442	1,435	$31K
99394		266	266	$26K
99393		220	220	$20K
92570		763	647	$14K
87426		494	469	$11K
87804		894	440	$8K
99392		73	72	$7K
87880		1,312	1,213	$7K
69210		71	69	$4K
96127		536	535	$2K
96110		415	389	$2K
99177		286	286	$1K
99441		14	14	$666.18
36415		500	494	$264.19
G2023	Specimen collect covid-19	220	214	$246.46
97802		2,069	1,992	$168.96
G0444	Depression screen annual	67	67	$101.50
G0270	Mnt subs tx for change dx	91	91	$99.44
90461		193	191	$76.45
99173		443	443	$70.09
90686		99	99	$42.68
85018		26	26	$38.28
96160		422	421	$27.62
85014		14	14	$21.85
36416		24	24	$7.93
S9451	Exercise class	2,064	1,987	$0.00
3008F		1,028	929	$0.00
1036F		91	90	$0.00
G8708	Antibiotic not pres	599	558	$0.00
G9275	Doc of non tobacco user	402	401	$0.00
G8510	Scr dep neg, no plan reqd	449	447	$0.00
1000F		91	90	$0.00
G8420	Calc bmi norm parameters	431	314	$0.00
G8711	Pres antibx on/within 3 day	53	52	$0.00
99000		51	51	$0.00
G8483	Flu imm no admin doc rea	484	479	$0.00
G8709	Uri ep compete diag	610	577	$0.00
G8482	Flu immunize order/admin	176	176	$0.00
3725F		109	108	$0.00
3210F		270	252	$0.00
G8417	Calc bmi abv up param f/u	50	40	$0.00
G9622	No unheal etoh user	46	46	$0.00
3016F		13	13	$0.00
S9470	Nutritional counseling, diet	44	44	$0.00

Medicaid Provider Spending