KWON, YOUNG

$111K

Total Medicaid Paid

47,803

Total Claims

46,238

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		4,329	4,003	$26K
99393		1,498	1,489	$14K
99394		1,717	1,709	$12K
96156		1,460	1,434	$11K
96110		959	950	$8K
92551		4,023	3,997	$5K
99215	Prolong outpt/office vis	3,363	3,151	$5K
90686		2,777	2,754	$4K
99392		276	273	$4K
86409		46	46	$4K
0071A		69	69	$3K
0124A		65	65	$3K
0072A		63	63	$3K
99213		6,211	5,806	$1K
87635		24	21	$1K
81000		4,032	4,007	$814.45
0002A		19	19	$760.00
0004A		18	18	$720.00
96150		100	100	$692.49
90670		118	118	$621.00
90700		157	157	$566.20
0001A		14	14	$560.00
0064A		13	12	$520.00
90651		529	527	$447.40
90620		331	331	$379.00
90685		155	155	$374.03
90713		84	84	$364.60
90648		41	41	$284.40
90734		330	328	$229.41
G8510	Scr dep neg, no plan reqd	246	243	$120.68
90680		13	13	$117.00
99395		14	14	$82.32
99188		87	86	$64.80
86580		77	74	$37.34
90672		16	16	$10.00
90707		28	28	$9.00
90716		29	29	$9.00
99212		4,583	4,337	$8.20
99339		1,007	949	$4.63
99173		3,929	3,906	$4.45
99211		2,014	1,931	$0.00
90460		211	201	$0.00
G2012	Brief check in by md/qhp	17	12	$0.00
92081		15	15	$0.00
90715		26	26	$0.00
90633		13	13	$0.00
G0447	Behavior counsel obesity 15m	1,958	1,925	$0.00
Q3014	Telehealth facility fee	374	356	$0.00
96112		56	56	$0.00
G0136	Adm of pa/n assess 5-15 m	219	217	$0.00
G0008	Admin influenza virus vac	22	22	$0.00
90657		28	28	$0.00

Medicaid Provider Spending