BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC

$464K

Total Medicaid Paid

118,581

Total Claims

72,519

Beneficiaries

35

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99336		30,743	18,106	$169K
99337		20,650	12,653	$144K
99349		8,687	5,427	$137K
99490	Ccm add 20min	7,549	5,625	$5K
99350	Prolong home eval add 15m	44	32	$3K
G8752	Sys bp less 140	18,287	10,585	$2K
99335		855	458	$1K
99334		815	517	$1K
G0179	Md recertification hha pt	2,530	1,909	$707.60
99493		178	126	$434.42
G0180	Md certification hha patient	975	778	$416.12
99348		265	177	$393.87
99487	Ccm add 20min	704	575	$303.82
G8753	Sys bp > or = 140	924	574	$200.28
99347		32	25	$97.83
99489	Ccm add 20min	96	85	$82.02
G8510	Scr dep neg, no plan reqd	347	231	$47.34
99495		30	16	$31.32
99406		155	122	$6.59
3288F		581	449	$0.00
99497		156	117	$0.00
1090F		127	94	$0.00
99211		39	22	$0.00
G8754	Dias bp less 90	22,338	12,743	$0.00
G0439	Ppps, subseq visit	520	355	$0.00
G8755	Dias bp > or = 90	44	31	$0.00
0509F		266	213	$0.00
G8433	Scr for dep not cpt doc rsn	39	26	$0.00
1170F		297	232	$0.00
1111F		23	15	$0.00
99439		64	42	$0.00
G0506	Comp asses care plan ccm svc	61	44	$0.00
1126F		125	90	$0.00
G2058	Ccm add 20min	17	13	$0.00
3044F		18	12	$0.00

Medicaid Provider Spending