ARROWHEAD MEDICAL INC.

$822K

Total Medicaid Paid

39,251

Total Claims

23,951

Beneficiaries

57

Codes Billed

2018-01

First Month

2021-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		8,300	6,930	$478K
99215	Prolong outpt/office vis	979	896	$66K
97110		1,795	540	$61K
99396		736	698	$59K
97140		2,012	564	$51K
99204		427	406	$40K
99395		264	251	$20K
97032		1,779	543	$19K
98941		438	167	$11K
93000		426	400	$5K
99213		96	92	$4K
99397		51	47	$3K
96372		145	121	$2K
93306		15	12	$2K
99497		12	12	$485.93
98940		21	12	$371.11
J3301	Triamcinolone acet inj nos	24	24	$166.70
99490	Ccm add 20min	43	41	$128.32
G0444	Depression screen annual	145	113	$103.80
3078F		1,425	823	$94.37
G0447	Behavior counsel obesity 15m	79	54	$90.39
81002		29	26	$71.07
3044F		1,090	623	$0.00
3074F		1,446	827	$0.00
1101F		300	124	$0.00
3075F		189	113	$0.00
2000F		1,995	1,125	$0.00
1036F		2,293	1,355	$0.00
G8510	Scr dep neg, no plan reqd	1,288	631	$0.00
3061F		424	211	$0.00
4010F		331	184	$0.00
4000F		90	41	$0.00
G9664	Taking statin or rec'd order	436	229	$0.00
G8754	Dias bp less 90	1,026	582	$0.00
3049F		192	118	$0.00
3048F		686	367	$0.00
3008F		93	59	$0.00
3017F		666	348	$0.00
3014F		565	326	$0.00
1000F		426	262	$0.00
3079F		406	257	$0.00
G9717	Doc pt dx bipol	83	64	$0.00
G8752	Sys bp less 140	976	547	$0.00
G8483	Flu imm no admin doc rea	122	76	$0.00
3725F		1,969	1,138	$0.00
1159F		1,438	768	$0.00
G9781	Doc rsn no statin	31	15	$0.00
1160F		784	411	$0.00
4013F		292	171	$0.00
3050F		88	40	$0.00
3077F		33	29	$0.00
77067		16	13	$0.00
G8431	Pos clin depres scrn f/u doc	52	27	$0.00
G8417	Calc bmi abv up param f/u	18	12	$0.00
2022F		100	55	$0.00
3095F		47	14	$0.00
3045F		19	17	$0.00

Medicaid Provider Spending