HMAYAKYAN, SAMVEL

$268K

Total Medicaid Paid

27,932

Total Claims

26,972

Beneficiaries

32

Codes Billed

2018-01

First Month

2024-09

Last Month

Year	Claims	Total Paid
2018	3,142	$29K
2019	4,178	$70K
2020	2,806	$40K
2021	2,414	$49K
2022	3,585	$35K
2023	11,132	$37K
2024	675	$8K

Code	Description	Claims	Beneficiaries	Total Paid
99490	Ccm add 20min	11,870	11,858	$82K
99309	Subsequent nursing facility care, per day, low to moderate complexity	4,012	4,005	$59K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	3,578	3,566	$53K
99497		1,791	1,777	$26K
99233	Prolong inpt eval add15 m	1,092	410	$17K
99308	Subsequent nursing facility care, per day, straightforward	1,003	1,001	$10K
99443		154	154	$4K
99239	Hospital discharge day management, more than 30 minutes	191	186	$3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	608	556	$2K
99232	Subsequent hospital care, per day, moderate complexity	119	24	$1K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	82	82	$1K
99223	Prolong inpt eval add15 m	54	53	$1K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	67	67	$822.51
99306	Prolong nursin fac eval 15m	28	28	$744.03
99441		159	134	$726.37
99442		56	52	$665.10
99305		45	43	$604.54
99349		166	166	$583.98
36415	Collection of venous blood by venipuncture	758	756	$383.31
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	509	486	$376.84
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	219	218	$292.91
99406		232	222	$254.99
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	240	239	$223.95
G0442	Annual alcohol misuse screening, 5 to 15 minutes	228	227	$206.53
90688		206	206	$152.36
G0444	Annual depression screening, 5 to 15 minutes	29	29	$102.80
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	283	275	$96.81
99483	Prolong outpt/office vis	14	14	$63.61
G0008	Administration of influenza virus vaccine	48	48	$18.58
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27	26	$0.00
99310	Prolong nursin fac eval 15m	14	14	$0.00

Medicaid Provider Spending

Monthly Spending Trend

Yearly Breakdown

Billing Codes