DR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC · NPI 1255878468

$485K

Total Medicaid Paid

19,903

Total Claims

15,833

Beneficiaries

41

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		10,081	7,565	$359K
90740		472	472	$45K
99213		1,101	902	$36K
90471		757	732	$9K
96372		1,901	1,391	$8K
99457		369	365	$5K
G0445	High inten beh couns std 30m	636	528	$5K
99396		25	25	$3K
G0442	Annual alcohol screen 15 min	636	528	$3K
99454		155	153	$3K
G0444	Depression screen annual	618	513	$2K
90674		143	143	$2K
99395		12	12	$1K
93000		172	169	$1K
90686		79	79	$898.68
J3420	Vitamin b12 injection	674	321	$718.83
99443		44	42	$575.17
G0447	Behavior counsel obesity 15m	143	107	$371.85
90756		24	24	$350.14
J1885	Ketorolac tromethamine inj	198	121	$281.36
82150		206	202	$279.36
82977		187	183	$278.18
95816		12	12	$274.50
84550		203	199	$183.90
G0008	Admin influenza virus vac	83	83	$90.00
80053		13	13	$86.56
99453		13	13	$58.83
J3301	Triamcinolone acet inj nos	12	12	$55.20
82310		90	89	$16.70
84460		89	88	$13.45
84075		90	89	$13.25
84450		89	88	$13.25
82565		90	89	$13.16
82247		90	89	$13.01
82040		90	89	$11.90
84520		90	89	$11.30
84155		90	89	$10.86
82947		90	89	$7.99
95957		12	12	$0.00
80061		12	12	$0.00
96136		12	12	$0.00

Medicaid Provider Spending