LI, FANGQIN

$964K

Total Medicaid Paid

38,385

Total Claims

32,960

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		6,163	5,002	$467K
99213		4,751	3,970	$277K
92552		3,092	2,904	$76K
H0001	Alcohol and/or drug assess	2,802	2,128	$23K
99396		276	255	$22K
90471		1,270	1,195	$21K
93000		855	827	$10K
90674		326	326	$8K
99406		1,335	1,198	$7K
81000		2,368	2,156	$6K
99395		81	77	$6K
3078F		2,757	2,105	$6K
90460		190	183	$6K
3074F		2,730	2,082	$6K
99497		198	168	$4K
99408		752	706	$2K
90686		192	190	$2K
G0447	Behavior counsel obesity 15m	246	221	$2K
90688		111	107	$2K
36415		2,981	2,756	$1K
99215	Prolong outpt/office vis	12	12	$1K
81003		713	646	$1K
G9622	No unheal etoh user	467	400	$979.50
90658		56	56	$973.80
90472		77	75	$787.50
G0444	Depression screen annual	574	553	$767.85
90632		12	12	$718.05
96127		859	722	$625.83
99490	Ccm add 20min	25	24	$598.49
99051		265	256	$549.67
G9275	Doc of non tobacco user	399	360	$458.50
G0442	Annual alcohol screen 15 min	336	319	$361.02
G8510	Scr dep neg, no plan reqd	156	153	$262.85
H0002	Alcohol and/or drug screenin	293	215	$147.00
99050		14	14	$25.82
99173		30	30	$0.00
3725F		25	25	$0.00
G8482	Flu immunize order/admin	26	26	$0.00
99072		13	12	$0.00
3016F		103	89	$0.00
3008F		255	233	$0.00
1000F		69	65	$0.00
99429		53	39	$0.00
1036F		12	12	$0.00
G0008	Admin influenza virus vac	12	12	$0.00
97802		17	13	$0.00
3017F		36	31	$0.00

Medicaid Provider Spending