VERIMED HEALTH AND MEDICAL WELLNESS CLINIC, INC

$35K

Total Medicaid Paid

7,222

Total Claims

6,538

Beneficiaries

49

Codes Billed

2018-01

First Month

2019-04

Last Month

Year	Claims	Total Paid
2018	4,252	$19K
2019	2,970	$15K

Code	Description	Claims	Beneficiaries	Total Paid
66030		484	470	$10K
99213		729	710	$6K
99444		764	234	$4K
92012		529	520	$4K
68761		116	116	$2K
99497		135	134	$1K
99214		37	37	$1K
92250		101	100	$1K
G0179	Md recertification hha pt	433	433	$1K
92014		14	14	$815.47
67840		211	208	$563.44
99202		15	15	$551.44
92002		41	41	$419.02
94060		31	31	$312.67
93000		24	24	$172.28
96372		36	31	$106.33
95923		13	13	$96.20
94640		13	13	$92.85
93922		13	13	$68.30
92540		26	25	$25.11
95921		13	13	$8.06
1124F		95	94	$0.00
2022F		51	51	$0.00
G9974	Mac exam perf	156	155	$0.00
G0444	Depression screen annual	20	19	$0.00
92547		26	25	$0.00
G8752	Sys bp less 140	472	460	$0.00
G8753	Sys bp > or = 140	493	476	$0.00
0518F		134	127	$0.00
2027F		166	165	$0.00
93880		50	49	$0.00
80061		106	104	$0.00
G9622	No unheal etoh user	24	17	$0.00
G8431	Pos clin depres scrn f/u doc	45	39	$0.00
5010F		47	46	$0.00
68400		115	115	$0.00
68110		26	26	$0.00
82962		59	58	$0.00
G0180	Md certification hha patient	70	70	$0.00
99406		40	39	$0.00
83036		104	103	$0.00
G8754	Dias bp less 90	853	826	$0.00
G8755	Dias bp > or = 90	32	32	$0.00
1006F		73	66	$0.00
36415		91	90	$0.00
3044F		31	30	$0.00
J1100	Dexamethasone sodium phos	34	30	$0.00
J7613	Albuterol non-comp unit	13	13	$0.00
G0442	Annual alcohol screen 15 min	18	18	$0.00

Medicaid Provider Spending