THANDI, AMRIT

$631K

Total Medicaid Paid

40,190

Total Claims

31,814

Beneficiaries

50

Codes Billed

2018-02

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99215	Prolong outpt/office vis	2,860	2,061	$182K
95923		728	651	$56K
92546		710	653	$53K
96372		2,224	1,559	$52K
92540		710	653	$47K
94060		1,429	1,252	$41K
99214		945	686	$39K
99213		1,452	1,059	$27K
95922		715	650	$21K
93922		726	330	$19K
92552		575	541	$12K
93000		1,266	1,057	$10K
87636		74	69	$8K
J0287	Amphotericin b lipid complex	856	582	$6K
99354		316	246	$6K
99417	Prolong home eval add 15m	583	447	$6K
82947		2,357	1,834	$6K
94621		62	49	$6K
86769		181	140	$5K
81002		2,349	1,835	$5K
92547		709	652	$4K
83036		777	614	$4K
85018		1,758	1,446	$3K
92567		253	224	$2K
99091		12	12	$2K
81025		316	257	$2K
J3411	Thiamine hcl 100 mg	680	593	$1K
87880		109	101	$1K
87804		112	104	$1K
J3420	Vitamin b12 injection	1,086	907	$920.03
99490	Ccm add 20min	539	539	$481.48
J1100	Dexamethasone sodium phos	861	672	$388.08
99497		732	609	$350.76
J1885	Ketorolac tromethamine inj	549	385	$250.65
94010		13	13	$240.53
J0696	Ceftriaxone sodium injection	278	234	$166.38
99358	Prolong nursin fac eval 15m	46	37	$96.62
J3301	Triamcinolone acet inj nos	30	12	$60.68
81003		59	44	$58.50
99402		3,736	2,556	$49.74
94664		1,494	1,304	$15.00
97110		652	613	$0.00
99173		21	13	$0.00
99401		17	17	$0.00
G2212	Prolong outpt/office vis	15	12	$0.00
92548		999	878	$0.00
36415		658	584	$0.00
96127		2,052	1,663	$0.00
99403		122	109	$0.00
G0447	Behavior counsel obesity 15m	387	256	$0.00

Medicaid Provider Spending