RETINO, ROSARIO

$126K

Total Medicaid Paid

66,097

Total Claims

62,172

Beneficiaries

64

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		17,315	14,440	$45K
99214		5,045	4,627	$15K
92551		1,234	1,219	$8K
90686		3,471	3,423	$7K
90651		1,026	1,006	$4K
99392		1,487	1,441	$4K
99394		2,162	2,116	$4K
96156		709	703	$4K
G9920	Scrning perf and negative	1,818	1,803	$3K
99393		2,302	2,237	$3K
90471		3,056	2,963	$3K
0072A		66	58	$2K
G0439	Ppps, subseq visit	1,177	1,170	$2K
90460		694	668	$2K
G0447	Behavior counsel obesity 15m	2,595	2,587	$2K
99391		199	198	$2K
G0442	Annual alcohol screen 15 min	119	119	$2K
96110		365	359	$1K
90671		70	70	$1K
90619		126	126	$1K
90734		388	374	$993.48
99212		701	672	$969.53
90698		115	112	$911.91
90670		213	206	$837.25
97803		206	206	$825.23
99188		70	70	$712.16
90685		55	54	$504.91
90716		210	206	$494.64
0073A		16	16	$480.00
92081		1,300	1,277	$477.85
99408		592	591	$437.48
90620		139	139	$398.00
G0444	Depression screen annual	217	217	$364.64
90707		137	137	$330.66
G8510	Scr dep neg, no plan reqd	1,539	1,532	$330.48
90633		113	110	$296.91
90461		112	107	$286.74
97802		25	25	$273.81
87110		268	268	$227.12
99211		136	133	$208.78
99395		66	66	$190.00
90715		73	71	$147.75
G9919	Scrn nd pos nd prov of rec	80	80	$144.13
90680		87	86	$143.79
90744		63	61	$107.91
G8431	Pos clin depres scrn f/u doc	223	217	$103.22
90792		70	70	$99.50
90713		17	17	$90.00
90700		18	18	$72.00
86580		67	61	$70.50
S9451	Exercise class	4,161	4,142	$57.86
83655		116	115	$26.72
99406		128	128	$20.72
90648		12	12	$15.00
3008F		4,500	4,469	$10.00
4004F		1,502	1,477	$0.00
G0438	Ppps, initial visit	85	85	$0.00
G0270	Mnt subs tx for change dx	2,135	2,120	$0.00
99203		26	25	$0.00
3351F		465	459	$0.00
36415		30	30	$0.00
1220F		508	503	$0.00
99441		56	54	$0.00
96161		21	21	$0.00

Medicaid Provider Spending