ATALLA MEDICAL GROUP

$87K

Total Medicaid Paid

17,950

Total Claims

15,273

Beneficiaries

51

Codes Billed

2020-11

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		6,173	4,638	$53K
U0001	2019-ncov diagnostic p	883	449	$13K
G2023	Specimen collect covid-19	634	396	$6K
99203		297	297	$3K
99214		712	628	$2K
96110		353	349	$1K
99000		956	802	$1K
0072A		51	44	$1K
0004A		56	51	$1K
0054A		37	33	$1K
G9920	Scrning perf and negative	796	789	$1K
0064A		19	17	$520.00
M0201	Pne flu hepb cov home admin	21	21	$456.45
94760		140	109	$436.67
99385		42	42	$331.10
96160		556	554	$260.64
99212		169	164	$174.53
0071A		13	12	$160.00
91305		12	12	$126.72
99204		89	89	$114.00
91307		35	30	$92.34
G8510	Scr dep neg, no plan reqd	177	176	$85.70
99396		12	12	$75.00
91300		27	27	$69.65
99211		222	218	$56.97
90471		405	403	$47.71
99072		74	55	$46.88
90460		94	63	$29.70
99401		1,224	1,205	$24.46
36410		336	330	$21.55
G0446	Intens behave ther cardio dx	29	28	$21.07
G8431	Pos clin depres scrn f/u doc	26	26	$20.00
92552		12	12	$16.52
92551		27	27	$11.37
99490	Ccm add 20min	61	55	$8.20
S9470	Nutritional counseling, diet	1,193	1,136	$7.50
96127		41	40	$2.17
85018		224	222	$2.07
G0444	Depression screen annual	272	272	$0.00
90472		158	158	$0.00
99173		12	12	$0.00
99392		13	13	$0.00
90658		40	40	$0.00
96161		486	484	$0.00
36415		128	124	$0.00
G8432	Dep scr not doc, rng	345	341	$0.00
3075F		14	14	$0.00
90674		79	79	$0.00
H0049	Alcohol/drug screening	79	79	$0.00
88150		39	39	$0.00
99174		57	57	$0.00

Medicaid Provider Spending