HALLENBECK, RICHARD

$837K

Total Medicaid Paid

28,229

Total Claims

27,183

Beneficiaries

53

Codes Billed

2022-04

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		6,752	5,839	$457K
99393		756	756	$53K
99394		755	754	$51K
99392		703	702	$49K
92587		2,400	2,383	$45K
G0447	Behavior counsel obesity 15m	1,797	1,794	$25K
99391		373	366	$25K
90471		1,614	1,592	$22K
90460		946	933	$19K
90472		739	735	$18K
99441		440	427	$17K
99395		195	195	$16K
99214		179	171	$15K
90461		265	263	$6K
87804		266	265	$3K
87880		306	300	$3K
G0439	Ppps, subseq visit	47	47	$2K
96110		228	226	$2K
92568		171	166	$2K
99203		21	21	$2K
99401		193	185	$1K
H0049	Alcohol/drug screening	172	172	$929.84
92567		170	166	$669.23
90677		12	12	$640.00
87426		23	23	$442.52
G0444	Depression screen annual	1,064	1,063	$385.34
90686		647	646	$352.50
H0033	Oral med adm direct observe	48	47	$170.16
36415		2,350	2,344	$130.37
99051		51	50	$79.24
90633		24	24	$71.40
97802		468	467	$60.85
99406		612	612	$39.09
96127		60	58	$36.10
S9451	Exercise class	69	69	$20.00
90670		82	82	$17.85
87430		76	75	$7.56
G0445	High inten beh couns std 30m	813	812	$5.60
G0443	Brief alcohol misuse counsel	889	888	$4.61
G8510	Scr dep neg, no plan reqd	156	156	$0.00
90619		25	25	$0.00
3008F		440	440	$0.00
1220F		144	144	$0.00
90680		26	26	$0.00
90651		38	38	$0.00
1000F		152	152	$0.00
90620		41	41	$0.00
90674		184	184	$0.00
A4930	Sterile, gloves per pair	22	22	$0.00
90656		39	39	$0.00
3016F		150	150	$0.00
90734		24	24	$0.00
90648		12	12	$0.00

Medicaid Provider Spending