AGARWAL, DIMPLE

$553K

Total Medicaid Paid

26,123

Total Claims

24,965

Beneficiaries

51

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99215	Prolong outpt/office vis	9,212	8,837	$357K
99205	Prolong outpt/office vis	835	820	$52K
95144		391	43	$49K
99214		1,357	1,323	$34K
99497		406	405	$18K
99396		205	204	$14K
99395		104	104	$8K
95004		57	57	$7K
99212		133	132	$2K
99443		46	46	$2K
96372		217	187	$2K
99213		103	103	$2K
93923		17	17	$1K
96127		326	324	$1K
99441		61	61	$1K
94375		47	46	$919.60
99204		14	14	$614.58
90674		15	15	$405.75
99211		43	41	$285.12
90686		13	13	$207.20
99201		16	16	$204.03
99072		365	356	$186.00
93040		17	17	$181.16
90471		49	49	$145.86
99358	Prolong nursin fac eval 15m	22	22	$71.62
99421		64	62	$32.04
99401		320	319	$24.00
4004F		726	691	$0.60
3074F		1,163	1,143	$0.00
3079F		705	698	$0.00
1123F		323	318	$0.00
3075F		429	426	$0.00
1036F		2,583	2,458	$0.00
G8420	Calc bmi norm parameters	108	105	$0.00
3080F		536	530	$0.00
1125F		171	171	$0.00
1126F		264	257	$0.00
G9664	Taking statin or rec'd order	447	435	$0.00
G8754	Dias bp less 90	67	67	$0.00
99496		40	40	$0.00
3044F		64	64	$0.00
G0008	Admin influenza virus vac	12	12	$0.00
96156		21	20	$0.00
3078F		987	976	$0.00
G8417	Calc bmi abv up param f/u	393	387	$0.00
G8427	Docrev cur meds by elig clin	1,208	1,151	$0.00
3077F		618	610	$0.00
G9510	Remis12m not phq-9 score <5	682	653	$0.00
G9920	Scrning perf and negative	35	35	$0.00
G8752	Sys bp less 140	52	52	$0.00
G0444	Depression screen annual	34	33	$0.00

Medicaid Provider Spending