JIMI O. BENSON MD., INC

$1.45M

Total Medicaid Paid

66,203

Total Claims

27,195

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99232		35,592	5,270	$965K
99255		2,654	2,447	$221K
99233	Prolong inpt eval add15 m	4,715	1,105	$111K
99223	Prolong inpt eval add15 m	2,689	2,559	$93K
99308		3,669	1,250	$21K
99214		1,720	1,438	$14K
99239		555	544	$13K
99215	Prolong outpt/office vis	459	416	$3K
99401		1,645	1,276	$3K
99213		276	251	$3K
99306	Prolong nursin fac eval 15m	66	63	$2K
99211		542	500	$984.40
99254		13	13	$821.73
99315		36	36	$484.31
99497		241	240	$429.50
96156		232	231	$405.74
99000		660	607	$145.93
96127		522	466	$117.80
99406		140	140	$37.15
36415		435	420	$1.77
3077F		347	303	$0.00
1159F		223	220	$0.00
G8431	Pos clin depres scrn f/u doc	200	163	$0.00
G0444	Depression screen annual	155	153	$0.00
1158F		139	138	$0.00
1160F		2,465	1,966	$0.00
97803		14	14	$0.00
3078F		1,435	1,211	$0.00
A4245	Alcohol wipes per box	26	25	$0.00
G0438	Ppps, initial visit	58	58	$0.00
99395		32	32	$0.00
99396		31	31	$0.00
1220F		286	254	$0.00
3008F		1,141	930	$0.00
3074F		1,519	1,260	$0.00
3079F		556	495	$0.00
3075F		247	225	$0.00
G8510	Scr dep neg, no plan reqd	260	258	$0.00
3080F		145	129	$0.00
94760		16	12	$0.00
97802		25	24	$0.00
A6454	Self-adher band w>=3" <5"/yd	22	22	$0.00

Medicaid Provider Spending