PRINCE, TERRY

$1K

Total Medicaid Paid

250

Total Claims

244

Beneficiaries

4

Codes Billed

2020-11

First Month

2021-09

Last Month

Year	Claims	Total Paid
2020	72	$0.00
2021	178	$1K

Code	Description	Claims	Beneficiaries	Total Paid
70450	Computed tomography, head or brain; without contrast material	24	24	$845.38
71045	Radiologic examination, chest; single view	26	25	$156.63
G9637	Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)	151	147	$0.00
G9551	Final reports for imaging studies without an incidentally found lesion noted	49	48	$0.00

Medicaid Provider Spending