ENRIQUE GRIEGO M.D.P.A.

$138K

Total Medicaid Paid

72,802

Total Claims

65,700

Beneficiaries

63

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		9,908	8,013	$109K
96372		1,375	1,092	$6K
95923		211	207	$5K
99214		475	447	$4K
36410		1,290	1,204	$4K
99212		306	269	$2K
93000		520	504	$1K
93922		210	209	$1K
95921		215	214	$974.14
82306		1,473	1,401	$798.21
80061		4,107	3,964	$591.29
93701		35	35	$411.49
80048		4,288	4,126	$382.42
80076		3,825	3,685	$366.39
82977		4,107	3,950	$330.53
84443		1,780	1,707	$320.30
83036		3,295	3,169	$312.97
85025		3,531	3,371	$293.53
83615		3,843	3,699	$264.50
J0696	Ceftriaxone sodium injection	211	200	$182.49
90686		237	234	$112.46
82947		2,385	2,160	$75.19
G0246	Followup eval of foot pt lop	12	12	$59.23
82570		1,315	1,249	$50.27
81003		1,558	1,403	$25.24
G0008	Admin influenza virus vac	186	185	$15.90
36415		3,635	3,480	$9.00
82043		314	306	$7.00
96136		88	85	$2.50
J2001	Lidocaine injection	814	624	$2.10
3045F		1,342	1,122	$0.00
1160F		1,041	781	$0.00
1159F		1,119	833	$0.00
3288F		161	150	$0.00
4019F		957	763	$0.00
3078F		600	494	$0.00
G8482	Flu immunize order/admin	198	195	$0.00
3046F		506	427	$0.00
96103		86	86	$0.00
96130		87	84	$0.00
G0444	Depression screen annual	153	150	$0.00
3077F		53	52	$0.00
87880		15	14	$0.00
1090F		19	18	$0.00
3044F		3,267	2,669	$0.00
1123F		556	522	$0.00
1101F		63	59	$0.00
2000F		282	267	$0.00
1036F		4,638	3,887	$0.00
4050F		272	229	$0.00
3048F		431	370	$0.00
3074F		249	207	$0.00
1126F		160	150	$0.00
G0103	Psa screening	88	87	$0.00
82962		36	35	$0.00
J3420	Vitamin b12 injection	114	111	$0.00
J1100	Dexamethasone sodium phos	333	315	$0.00
1170F		151	147	$0.00
96120		74	74	$0.00
G0439	Ppps, subseq visit	142	142	$0.00
1125F		17	17	$0.00
G0328	Fecal blood scrn immunoassay	27	27	$0.00
3049F		16	12	$0.00

Medicaid Provider Spending