LI, HONG

$2.15M

Total Medicaid Paid

47,639

Total Claims

43,330

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		14,193	10,913	$1.27M
99212		3,478	3,082	$196K
90460		4,902	4,571	$178K
99393		920	920	$102K
99392		806	804	$89K
92552		2,145	2,137	$80K
99391		552	519	$55K
99401		2,774	2,729	$46K
99394		250	250	$31K
96156		1,866	1,865	$27K
86580		1,265	1,263	$13K
97802		2,156	2,108	$12K
99402		271	271	$9K
90461		355	351	$9K
96110		2,022	2,018	$4K
87880		220	213	$3K
G0396	Alcohol/subs interv 15-30mn	177	177	$2K
H0001	Alcohol and/or drug assess	153	153	$2K
99406		247	247	$2K
H0049	Alcohol/drug screening	160	160	$2K
90670		113	113	$1K
0081A		34	34	$1K
99203		13	13	$1K
90686		657	657	$1K
99442		20	16	$966.03
G0444	Depression screen annual	180	180	$921.81
96127		1,469	1,468	$880.39
0071A		18	18	$752.22
S9470	Nutritional counseling, diet	2,862	2,822	$738.98
0072A		12	12	$503.63
90700		161	161	$277.00
90713		135	135	$276.00
90647		134	134	$252.00
99173		1,501	1,499	$239.98
90685		63	63	$209.28
96150		514	512	$160.00
90744		67	67	$130.70
99072		83	81	$122.50
99408		153	153	$118.17
90656		106	106	$97.70
G8510	Scr dep neg, no plan reqd	12	12	$48.00
91307		32	27	$15.90
91308		54	49	$14.62
90707		25	25	$1.00
90716		28	28	$1.00
99080		147	60	$0.00
90672		43	43	$0.00
90680		91	91	$0.00

Medicaid Provider Spending