JIMENEZ, MARCIAL

$269K

Total Medicaid Paid

19,791

Total Claims

19,334

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90460		1,121	1,115	$45K
99213		656	630	$41K
G0270	Mnt subs tx for change dx	2,478	2,464	$32K
92587		986	985	$26K
99401		1,437	1,425	$20K
99173		1,357	1,357	$17K
99393		413	413	$16K
G0447	Behavior counsel obesity 15m	493	493	$12K
99212		372	353	$12K
99406		902	701	$11K
99394		398	398	$7K
87491		429	429	$4K
90472		147	147	$4K
90471		285	285	$4K
0001A		97	97	$4K
99392		164	164	$4K
36415		1,362	1,362	$4K
D1206		105	105	$3K
97802		139	139	$2K
0053A		18	18	$729.78
0051A		13	13	$549.34
91305		41	41	$540.27
99391		84	83	$269.34
90686		199	198	$19.03
H0001	Alcohol and/or drug assess	455	455	$2.15
99408		455	455	$2.14
S9451	Exercise class	984	984	$0.00
3008F		137	137	$0.00
G9275	Doc of non tobacco user	368	368	$0.00
G8510	Scr dep neg, no plan reqd	454	454	$0.00
90647		41	41	$0.00
G8420	Calc bmi norm parameters	731	731	$0.00
1000F		442	442	$0.00
1036F		398	398	$0.00
90680		38	38	$0.00
G0439	Ppps, subseq visit	15	15	$0.00
90620		22	22	$0.00
36406		31	31	$0.00
90660		53	53	$0.00
90656		67	67	$0.00
90723		15	15	$0.00
90651		12	12	$0.00
G8417	Calc bmi abv up param f/u	261	261	$0.00
3725F		443	443	$0.00
99080		226	52	$0.00
90685		146	145	$0.00
99395		74	74	$0.00
90670		64	64	$0.00
90633		42	41	$0.00
90672		18	18	$0.00
91300		71	71	$0.00
90734		32	32	$0.00

Medicaid Provider Spending