NORTH WARD MEDICAL ARTS LLC

$228K

Total Medicaid Paid

9,179

Total Claims

8,619

Beneficiaries

57

Codes Billed

2021-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
95913		548	527	$47K
99214		1,466	1,267	$36K
95886		611	585	$34K
95813		98	93	$12K
99213		409	362	$9K
99215	Prolong outpt/office vis	233	217	$8K
93892		108	101	$7K
93306		67	54	$7K
93890		108	101	$5K
95911		64	59	$4K
94621		120	117	$4K
93886		108	101	$4K
94060		246	241	$4K
93923		114	114	$4K
90682		72	67	$4K
94729		245	240	$4K
99212		254	236	$3K
99396		39	34	$3K
94727		246	241	$3K
93924		61	61	$2K
95923		54	54	$2K
92546		80	79	$2K
G2211	Complex e/m visit add on	342	316	$2K
92540		80	79	$1K
95921		55	55	$1K
99497		69	67	$1K
94375		119	116	$1K
90673		13	13	$1K
87428		39	38	$950.95
90471		71	68	$919.51
93880		25	25	$852.44
93922		37	37	$836.47
G0444	Depression screen annual	161	160	$817.12
G0446	Intens behave ther cardio dx	147	146	$799.08
76700		21	20	$780.00
93925		47	43	$681.55
G0442	Annual alcohol screen 15 min	151	150	$617.21
92537		80	79	$552.53
99457		78	78	$544.18
90662		111	111	$500.94
76536		23	22	$415.50
76775		20	20	$358.59
92250		18	18	$338.90
99407		40	36	$272.31
G0136	Adm of pa/n assess 5-15 m	42	41	$226.55
94010		15	15	$118.32
96372		40	37	$115.87
82962		257	254	$105.18
G0439	Ppps, subseq visit	18	17	$91.31
J3420	Vitamin b12 injection	22	21	$5.00
3074F		310	294	$0.13
3078F		321	304	$0.13
3075F		106	101	$0.09
3079F		103	98	$0.08
1160F		364	335	$0.04
1159F		364	335	$0.04
G0008	Admin influenza virus vac	119	119	$0.00

Medicaid Provider Spending