DYNAMIC MEDICAL LLC

$1.03M

Total Medicaid Paid

186,193

Total Claims

69,387

Beneficiaries

42

Codes Billed

2019-04

First Month

2022-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0483	Drug test def 22+ classes	3,957	1,653	$202K
U0004	Cov-19 test non-cdc hgh thru	4,522	2,112	$99K
80376		6,470	2,355	$62K
80346		6,519	2,367	$38K
80361		6,519	2,367	$31K
80355		6,519	2,367	$31K
80323		6,519	2,367	$30K
80345		6,519	2,367	$26K
80368		6,519	2,367	$24K
80324		6,519	2,367	$24K
80367		6,519	2,367	$24K
80372		6,519	2,367	$24K
80321		6,519	2,367	$24K
80332		6,519	2,367	$24K
80365		6,519	2,367	$24K
80348		6,519	2,367	$24K
80360		6,518	2,367	$24K
80364		6,519	2,367	$24K
80366		6,519	2,367	$24K
80357		6,519	2,367	$24K
80337		6,519	2,367	$24K
80373		6,519	2,367	$24K
80338		6,519	2,367	$24K
80369		6,519	2,367	$24K
80354		6,519	2,367	$24K
80305		3,509	1,468	$19K
G0482	Drug test def 15-21 classes	581	291	$18K
80353		6,519	2,367	$15K
U0005	Infec agen detec ampli probe	1,151	841	$15K
80358		6,520	2,367	$9K
83992		6,521	2,368	$9K
U0002	Covid-19 lab test non-cdc	124	105	$6K
G0481	Drug test def 8-14 classes	1,878	791	$5K
G0480	Drug test def 1-7 classes	524	234	$4K
87481		13	12	$385.99
G2023	Specimen collect covid-19	69	58	$206.67
80048		74	54	$93.05
85025		46	39	$65.26
36415		249	154	$60.29
80053		19	18	$21.12
85027		17	13	$12.94
83036		13	13	$9.71

Medicaid Provider Spending