SWAN, ALEXANDER

$399K

Total Medicaid Paid

36,922

Total Claims

26,117

Beneficiaries

50

Codes Billed

2022-07

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		12,497	5,609	$330K
99214		657	609	$24K
99203		169	169	$11K
99396		64	64	$5K
96372		1,572	891	$5K
90471		630	609	$3K
93000		548	544	$3K
90756		481	473	$3K
99490	Ccm add 20min	152	147	$2K
3078F		3,034	1,712	$2K
3074F		2,046	1,288	$1K
H0001	Alcohol and/or drug assess	376	376	$1K
G0444	Depression screen annual	396	395	$1K
99204		34	34	$1K
99454		169	163	$1K
99397		329	328	$947.42
36410		1,306	1,293	$874.18
99457		170	163	$527.38
3075F		1,106	870	$517.34
81003		1,050	1,040	$415.71
90674		46	46	$297.24
J3420	Vitamin b12 injection	1,335	719	$73.35
3080F		33	30	$30.51
3079F		430	363	$29.18
3044F		544	538	$27.04
3077F		372	303	$15.59
1170F		270	270	$13.56
1125F		255	254	$13.56
1159F		270	270	$13.56
1160F		269	269	$13.56
G9275	Doc of non tobacco user	373	372	$12.00
3048F		386	383	$9.69
99000		1,470	1,447	$6.32
3049F		192	192	$5.44
G8510	Scr dep neg, no plan reqd	399	398	$3.15
3050F		91	90	$2.89
1157F		270	270	$2.00
1158F		270	270	$2.00
94760		13	13	$0.02
G9622	No unheal etoh user	372	371	$0.02
1036F		393	392	$0.00
1000F		393	392	$0.00
S0257	End of life counseling	269	269	$0.00
99606		269	269	$0.00
J3590	Unclassified biologics	12	12	$0.00
90863		270	270	$0.00
3016F		392	391	$0.00
G0438	Ppps, initial visit	31	31	$0.00
3725F		398	397	$0.00
99605		49	49	$0.00

Medicaid Provider Spending