PO LONG LEW, D.O. A MEDICAL PROFESSIONAL CORP.

$174K

Total Medicaid Paid

34,190

Total Claims

27,432

Beneficiaries

47

Codes Billed

2018-01

First Month

2022-07

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		19,496	14,055	$118K
98926		1,585	1,022	$19K
71046		706	696	$8K
99442		2,142	1,917	$6K
90658		580	577	$5K
J0696	Ceftriaxone sodium injection	522	481	$2K
99203		285	283	$2K
94640		431	407	$2K
90471		421	414	$2K
J3301	Triamcinolone acet inj nos	399	379	$2K
20610		66	62	$2K
G0008	Admin influenza virus vac	730	727	$1K
90732		14	14	$1K
90715		38	38	$959.03
90662		93	93	$898.00
97110		144	98	$711.49
98967		160	152	$512.49
99396		605	593	$474.79
99214		16	16	$424.64
97012		108	68	$258.00
97016		107	69	$237.03
3008F		1,266	1,202	$215.00
97024		109	68	$213.37
97035		107	68	$177.55
G0009	Admin pneumococcal vaccine	15	15	$81.50
3078F		680	660	$72.00
3074F		635	613	$72.00
99212		27	27	$59.05
G0444	Depression screen annual	869	869	$35.75
99395		105	104	$25.02
J1100	Dexamethasone sodium phos	19	15	$0.48
99394		16	16	$0.03
G0447	Behavior counsel obesity 15m	49	49	$0.03
3725F		310	291	$0.00
3077F		67	66	$0.00
G8417	Calc bmi abv up param f/u	86	75	$0.00
99397		35	35	$0.00
G0270	Mnt subs tx for change dx	48	48	$0.00
1158F		12	12	$0.00
99202		13	13	$0.00
G8510	Scr dep neg, no plan reqd	397	378	$0.00
82962		51	46	$0.00
3075F		116	115	$0.00
3080F		40	40	$0.00
3079F		115	113	$0.00
99386		107	107	$0.00
G8420	Calc bmi norm parameters	248	226	$0.00

Medicaid Provider Spending