XU, JING

$515K

Total Medicaid Paid

37,119

Total Claims

31,960

Beneficiaries

52

Codes Billed

2021-04

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		4,763	3,445	$356K
99204		184	184	$33K
99214		241	233	$24K
99385		139	139	$18K
90471		920	867	$15K
H0049	Alcohol/drug screening	705	704	$10K
99401		395	379	$9K
90756		364	362	$7K
G0444	Depression screen annual	895	890	$6K
90746		91	91	$6K
99395		38	38	$4K
93000		780	769	$4K
3074F		3,267	2,484	$4K
91320		44	44	$3K
3078F		2,867	2,206	$3K
36415		1,803	1,714	$3K
G8510	Scr dep neg, no plan reqd	721	716	$2K
99396		13	13	$2K
90480		44	44	$1K
99051		302	277	$979.77
90661		34	34	$894.17
3079F		689	591	$790.00
G0442	Annual alcohol screen 15 min	45	44	$730.36
0134A		22	22	$440.00
96127		869	864	$329.63
G0447	Behavior counsel obesity 15m	13	12	$281.64
3075F		260	234	$267.50
99408		19	19	$40.14
3085F		655	650	$40.00
1160F		1,799	1,518	$35.01
1159F		1,748	1,480	$30.01
3080F		14	13	$22.50
2014F		656	651	$20.00
G9275	Doc of non tobacco user	562	561	$7.44
G9622	No unheal etoh user	423	421	$7.00
A4930	Sterile, gloves per pair	20	19	$0.80
91313		20	20	$0.09
G8420	Calc bmi norm parameters	1,340	1,040	$0.00
3008F		1,366	1,128	$0.00
G8754	Dias bp less 90	780	616	$0.00
3011F		463	450	$0.00
1036F		570	569	$0.00
G8418	Calc bmi blw low param f/u	156	116	$0.00
97802		31	30	$0.00
1000F		656	654	$0.00
99000		278	253	$0.00
G8417	Calc bmi abv up param f/u	2,092	1,559	$0.00
1033F		481	479	$0.00
3725F		788	782	$0.00
G8427	Docrev cur meds by elig clin	397	396	$0.00
3016F		559	557	$0.00
G8752	Sys bp less 140	738	579	$0.00

Medicaid Provider Spending