PASCUAL, FILOMENA

$156K

Total Medicaid Paid

41,357

Total Claims

40,612

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
92587		4,740	4,724	$127K
99188		1,993	1,982	$10K
99213		7,744	7,348	$5K
99391		634	612	$5K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	2,260	2,219	$2K
99214		2,127	2,044	$1K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	4,508	4,491	$740.64
99394		1,198	1,195	$618.80
99393		1,864	1,861	$590.87
99392		1,954	1,936	$549.51
99203		69	69	$500.49
99212		1,154	1,132	$297.77
96110		769	726	$296.70
90686		374	373	$266.49
90698		119	119	$162.00
99202		52	52	$148.20
G9920	Screening performed and negative	4,335	4,309	$86.13
90670		156	156	$63.00
90744		29	29	$63.00
90680		45	45	$54.00
99406		685	682	$52.58
99177		887	880	$41.58
90633		64	64	$36.00
G0444	Annual depression screening, 5 to 15 minutes	165	163	$35.20
83655		205	205	$23.14
90651		19	18	$18.00
99211		333	333	$14.26
90460		712	702	$0.00
90461		467	462	$0.00
99408		212	212	$0.00
96160		414	411	$0.00
81002		14	14	$0.00
80061		13	13	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	16	16	$0.00
0071A		14	14	$0.00
85018		56	56	$0.00
99441		148	142	$0.00
H0049	Alcohol and/or drug screening	66	66	$0.00
91307		33	33	$0.00
85025		116	116	$0.00
36415		132	131	$0.00
90471		265	262	$0.00
97802		129	128	$0.00
99000		30	29	$0.00
99384		12	12	$0.00
36416		26	26	$0.00

Medicaid Provider Spending