BUBAK, GARY

$251K

Total Medicaid Paid

11,470

Total Claims

8,204

Beneficiaries

59

Codes Billed

2018-01

First Month

2022-05

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		3,083	2,758	$105K
99212		1,991	1,677	$57K
99232		610	209	$9K
90999		430	16	$8K
99214		465	387	$7K
99233	Prolong inpt eval add15 m	254	111	$5K
99284		283	46	$5K
99223	Prolong inpt eval add15 m	99	97	$4K
90961		76	76	$4K
G0463	Hospital outpt clinic visit	336	143	$4K
98966		233	222	$3K
93005		195	17	$3K
90837		140	102	$2K
A0427	Als1-emergency	23	20	$2K
90960		40	40	$2K
93010		122	71	$2K
G0008	Admin influenza virus vac	379	21	$2K
99239		96	93	$2K
A0425	Ground mileage	57	55	$1K
74177		79	76	$1K
70450		128	118	$1K
99308		98	87	$1K
A0429	Bls-emergency	16	16	$1K
99283		247	61	$1K
99231		139	50	$957.36
99222		37	33	$926.66
E1390	Oxygen concentrator	38	38	$924.91
74176		54	54	$920.72
71045		452	368	$919.72
88305		65	62	$908.42
71046		233	217	$863.67
99203		47	46	$832.11
90834		97	80	$815.51
99442		76	76	$789.59
99309		48	44	$774.14
90832		129	93	$772.75
99215	Prolong outpt/office vis	32	28	$747.44
99394		18	18	$703.26
71275		28	28	$507.15
92014		19	18	$506.31
99443		71	71	$415.29
99238		29	29	$403.05
99204		14	14	$366.11
90686		34	34	$329.26
93306		16	16	$303.04
90853		41	27	$218.80
73030		25	24	$186.96
83036		38	38	$164.29
98941		15	12	$146.43
Q3014	Telehealth facility fee	22	14	$135.11
97110		19	14	$128.30
E0601	Cont airway pressure device	12	12	$122.99
73630		37	33	$99.26
93294		12	12	$74.40
74018		38	28	$72.06
93971		13	13	$57.33
A7038	Pos airway pressure filter	15	15	$56.43
73502		15	14	$33.90
G1004	Cdsm ndsc	12	12	$0.00

Medicaid Provider Spending