1144485061

$862K

Total Medicaid Paid

31,836

Total Claims

26,972

Beneficiaries

24

Codes Billed

2018-01

First Month

2022-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	10,314	9,436	$393K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5,364	4,831	$285K
93000		6,393	5,822	$47K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	248	241	$30K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	6,544	4,373	$28K
99232	Subsequent hospital care, per day, moderate complexity	741	285	$22K
93296		1,125	1,005	$17K
99222	Initial hospital care, per day, moderate complexity	172	146	$12K
99223	Prolong inpt eval add15 m	85	82	$11K
93294		310	268	$5K
99233	Prolong inpt eval add15 m	62	26	$4K
93351		43	41	$2K
93248		62	61	$1K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13	13	$723.85
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	13	13	$678.34
93320		68	66	$604.76
93295		25	24	$595.79
0298T		27	26	$493.15
93325		120	114	$306.59
99152		33	29	$288.96
0296T		13	13	$235.86
93016		13	13	$188.21
93018		13	13	$126.38
99215	Prolong outpt/office vis	35	31	$0.00

Medicaid Provider Spending