DAVID P ELLENT PLLC

$502K

Total Medicaid Paid

21,341

Total Claims

16,721

Beneficiaries

51

Codes Billed

2020-06

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
U0004	Cov-19 test non-cdc hgh thru	4,830	3,555	$202K
99213		2,874	2,502	$80K
99214		1,485	1,389	$61K
87426		1,335	960	$31K
99202		1,721	1,458	$28K
87635		1,036	675	$21K
87798		499	253	$11K
99204		122	113	$9K
99203		185	178	$9K
99212		598	461	$7K
U0003	Cov-19 amp prb hgh thruput	179	145	$6K
81514		93	91	$6K
U0005	Infec agen detec ampli probe	582	445	$6K
99441		723	599	$6K
99233	Prolong inpt eval add15 m	308	82	$5K
99442		150	122	$2K
87502		65	44	$2K
87880		474	269	$2K
87276		454	262	$1K
87529		158	79	$1K
87563		185	175	$1K
87275		454	262	$1K
99391		15	13	$1K
87653		199	189	$899.97
87591		91	91	$655.99
87491		91	91	$655.99
87651		58	43	$611.72
87640		79	79	$598.50
80061		41	36	$310.50
87481		78	36	$176.88
80053		35	26	$137.93
80305		16	15	$137.54
96110		14	14	$125.27
85025		71	51	$123.03
83036		14	12	$94.66
87500		39	36	$58.96
87641		38	35	$58.96
G2211	Complex e/m visit add on	332	316	$16.75
1036F		231	212	$0.00
3008F		501	474	$0.00
3074F		209	197	$0.00
3079F		12	12	$0.00
1126F		82	77	$0.00
1111F		80	77	$0.00
3078F		178	170	$0.00
1159F		92	81	$0.00
G0444	Depression screen annual	25	25	$0.00
1160F		118	106	$0.00
G8427	Docrev cur meds by elig clin	51	47	$0.00
G0312	Immunize couns < 21yr 5-15 m	14	14	$0.00
99173		27	27	$0.00

Medicaid Provider Spending