AZ INTEGRATED NEURO SPINE & PAIN LLC

$5.68M

Total Medicaid Paid

70,083

Total Claims

64,115

Beneficiaries

48

Codes Billed

2018-07

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		39,468	36,522	$2.23M
99204		7,769	7,518	$645K
95816		2,609	2,474	$626K
95715		177	64	$604K
95700		315	280	$422K
95886		3,716	2,654	$253K
99213		3,741	3,501	$140K
62323		825	773	$132K
64615		1,006	908	$95K
96133		383	368	$69K
96116		959	911	$64K
96139		344	322	$61K
96121		902	844	$49K
99203		669	649	$38K
99205	Prolong outpt/office vis	368	353	$37K
62321		218	204	$37K
96132		384	368	$31K
99223	Prolong inpt eval add15 m	261	239	$25K
99233	Prolong inpt eval add15 m	416	196	$24K
J1030	Methylprednisolone 40 mg inj	3,205	2,908	$19K
96138		340	322	$7K
95724		26	25	$7K
96119		28	27	$7K
95720		34	12	$6K
95708		21	13	$6K
64636		44	36	$5K
20553		142	122	$5K
99215	Prolong outpt/office vis	68	67	$5K
95910		41	39	$5K
96118		25	25	$4K
96413		30	26	$3K
22853		29	13	$3K
20610		44	39	$2K
95911		13	13	$2K
J1100	Dexamethasone sodium phos	948	876	$1K
99152		40	39	$1K
92584		13	13	$1K
J0585	Injection,onabotulinumtoxina	150	116	$1K
92540		13	13	$1K
96130		12	12	$1K
J0702	Betamethasone acet&sod phosp	94	77	$977.65
96120		28	27	$690.92
99232		29	14	$496.89
G2211	Complex e/m visit add on	45	42	$222.88
92547		13	13	$98.04
20936		32	13	$0.00
20930		34	13	$0.00
1036F		12	12	$0.00

Medicaid Provider Spending