KHILFEH, HAMDI

$1.49M

Total Medicaid Paid

55,478

Total Claims

41,634

Beneficiaries

72

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		9,878	7,740	$510K
99213		5,279	4,343	$196K
U0003	Cov-19 amp prb hgh thruput	2,080	1,788	$155K
99308		6,637	3,719	$101K
87635		2,014	1,770	$92K
99232		4,067	1,457	$53K
99309		2,936	2,301	$49K
99203		873	825	$39K
99337		836	801	$30K
99396		367	265	$28K
99348		1,372	1,325	$28K
87426		787	646	$27K
99204		329	287	$25K
99222		840	774	$23K
G2023	Specimen collect covid-19	1,019	893	$23K
99490	Ccm add 20min	1,991	1,982	$20K
93000		713	553	$13K
99238		759	698	$12K
99305		369	314	$9K
96372		1,201	875	$9K
99211		848	753	$8K
99306	Prolong nursin fac eval 15m	243	213	$7K
87631		65	50	$6K
99291		144	52	$5K
99212		127	118	$2K
99072		761	622	$2K
90674		81	55	$2K
G0104	Ca screen;flexi sigmoidscope	55	29	$2K
90686		90	64	$2K
99234		29	28	$2K
93227		66	48	$1K
G0439	Ppps, subseq visit	32	27	$1K
90656		55	42	$1K
83036		163	138	$860.21
99000		43	33	$821.10
87811		21	12	$783.60
99497		101	93	$767.43
90661		24	14	$719.76
G0506	Comp asses care plan ccm svc	63	63	$718.87
99442		14	13	$538.86
90658		31	28	$484.95
87804		22	12	$481.19
G2211	Complex e/m visit add on	100	85	$475.32
99439		27	27	$385.34
J3420	Vitamin b12 injection	50	41	$63.90
J2930	Methylprednisolone injection	14	14	$61.90
36415		201	178	$15.02
36416		45	42	$8.20
90471		124	81	$6.40
1111F		318	201	$0.03
3725F		376	240	$0.03
1159F		1,379	918	$0.03
3075F		255	209	$0.00
3074F		298	233	$0.00
1036F		884	626	$0.00
3008F		1,577	1,074	$0.00
4037F		123	82	$0.00
4010F		163	119	$0.00
4011F		345	244	$0.00
3044F		184	144	$0.00
3079F		312	259	$0.00
1126F		312	207	$0.00
1034F		30	26	$0.00
G0442	Annual alcohol screen 15 min	13	12	$0.00
1170F		16	14	$0.00
3061F		14	12	$0.00
4013F		329	242	$0.00
3288F		111	91	$0.00
4274F		168	132	$0.00
3078F		204	166	$0.00
3511F		52	39	$0.00
1158F		29	13	$0.00

Medicaid Provider Spending