FAHIM, MARIAM

$135K

Total Medicaid Paid

57,687

Total Claims

56,237

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
92552		4,933	4,892	$73K
99391		1,325	1,292	$12K
99214		2,781	2,641	$12K
99213		11,185	10,223	$9K
99188		307	307	$5K
96110		1,944	1,934	$5K
99392		2,653	2,647	$2K
90670		858	847	$2K
G9920	Scrning perf and negative	4,549	4,520	$2K
99393		2,638	2,630	$2K
90649		191	189	$2K
G0447	Behavior counsel obesity 15m	5,197	5,170	$1K
90671		152	152	$1K
90686		839	829	$1K
90698		515	513	$808.29
90744		311	309	$715.31
99211		1,251	1,222	$512.46
99394		1,844	1,837	$402.78
90680		181	179	$395.46
90685		150	150	$377.82
90633		330	329	$359.64
99215	Prolong outpt/office vis	186	183	$315.12
85018		4,526	4,499	$171.06
90716		52	52	$126.00
90734		109	109	$108.00
83655		263	263	$90.48
81003		3,683	3,617	$65.04
G8510	Scr dep neg, no plan reqd	1,433	1,425	$57.19
90710		117	117	$44.55
90715		164	164	$43.91
90696		139	139	$35.64
90674		157	157	$26.73
90619		86	86	$8.91
90651		113	113	$8.91
90700		56	56	$8.91
87880		126	122	$7.61
80053		17	17	$0.00
1036F		696	695	$0.00
3351F		78	78	$0.00
36415		155	152	$0.00
90620		33	33	$0.00
H0049	Alcohol/drug screening	58	57	$0.00
85025		15	15	$0.00
90471		16	16	$0.00
G8431	Pos clin depres scrn f/u doc	101	101	$0.00
G0402	Initial preventive exam	920	906	$0.00
99395		106	106	$0.00
87502		33	33	$0.00
80061		13	13	$0.00
G9919	Scrn nd pos nd prov of rec	39	38	$0.00
90707		25	25	$0.00
90648		38	38	$0.00

Medicaid Provider Spending