AYOUB, ROBBY

$1.72M

Total Medicaid Paid

51,673

Total Claims

41,419

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		9,609	8,557	$378K
99233	Prolong inpt eval add15 m	5,757	960	$275K
99204		1,552	1,479	$128K
95810		310	308	$116K
94726		2,249	2,235	$100K
94729		2,246	2,234	$98K
99291		1,280	337	$92K
94016		3,942	3,845	$91K
94010		3,957	3,842	$90K
94060		2,233	2,211	$86K
95004		411	411	$64K
99215	Prolong outpt/office vis	468	455	$60K
95811		136	133	$47K
94760		6,510	5,955	$39K
99232		3,041	658	$22K
99454		469	469	$4K
99443		515	497	$4K
99213		148	145	$4K
99457		471	471	$3K
99490	Ccm add 20min	508	506	$3K
99458		403	403	$2K
99309		65	25	$2K
94375		310	308	$2K
U0003	Cov-19 amp prb hgh thruput	12	12	$2K
94664		102	102	$1K
94200		272	271	$1K
99439		383	383	$914.47
99203		14	13	$800.80
G2023	Specimen collect covid-19	26	26	$769.20
94618		35	35	$543.67
99222		44	40	$338.89
94640		36	36	$257.40
99223	Prolong inpt eval add15 m	29	29	$237.81
99072		12	12	$120.00
99000		41	41	$112.12
99453		45	45	$90.22
3074F		209	205	$25.00
3078F		227	223	$0.00
1160F		772	748	$0.00
3077F		18	18	$0.00
1126F		462	452	$0.00
1125F		434	421	$0.00
3079F		64	62	$0.00
3008F		385	379	$0.00
1170F		430	418	$0.00
1036F		824	802	$0.00
1101F		173	168	$0.00
G0506	Comp asses care plan ccm svc	19	19	$0.00
3075F		15	15	$0.00

Medicaid Provider Spending