NEW JERSEY UROLOGY LLC

$3.74M

Total Medicaid Paid

95,039

Total Claims

84,452

Beneficiaries

56

Codes Billed

2018-01

First Month

2021-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		27,014	25,371	$1.14M
99214		14,002	13,034	$880K
G6015	Radiation tx delivery imrt	2,588	493	$438K
99204		1,815	1,772	$227K
76857		4,568	4,320	$209K
76775		2,243	2,139	$148K
77014		2,618	502	$136K
99203		1,218	1,204	$100K
51798		5,843	5,578	$63K
99244		308	307	$47K
76872		651	637	$43K
51741		3,060	2,891	$38K
88120		406	399	$32K
88121		334	332	$31K
99212		1,040	926	$30K
99232		996	619	$27K
52000		155	153	$19K
99231		825	637	$14K
88108		1,821	1,805	$13K
99222		223	221	$12K
76856		132	129	$10K
51728		62	62	$10K
84153		2,048	1,970	$10K
81003		14,361	12,795	$9K
36415		3,125	2,934	$8K
51700		111	74	$7K
52281		28	28	$5K
88305		43	38	$5K
76770		205	202	$3K
99308		181	178	$3K
99242		27	27	$3K
99243		25	25	$2K
99233	Prolong inpt eval add15 m	73	52	$2K
84403		458	400	$2K
99223	Prolong inpt eval add15 m	26	25	$2K
84154		546	490	$1K
99202		16	16	$1K
96372		67	65	$1K
81002		838	780	$716.72
77336		39	25	$665.70
77427		33	13	$623.16
99221		12	12	$608.87
81000		123	115	$470.37
51701		17	16	$405.23
84270		108	89	$281.87
85025		109	106	$171.02
80053		76	69	$166.17
J0696	Ceftriaxone sodium injection	12	12	$97.08
J1580	Garamycin gentamicin inj	38	38	$65.90
G0416	Prostate biopsy, any mthd	15	15	$45.60
82040		108	88	$42.18
82565		39	31	$19.10
80048		14	14	$17.62
84520		34	31	$15.40
81001		59	54	$2.11
G8427	Docrev cur meds by elig clin	103	94	$0.00

Medicaid Provider Spending