ALLA, VIJAYAKUMAR

$135K

Total Medicaid Paid

15,316

Total Claims

13,932

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		5,015	4,527	$124K
99214		170	159	$4K
99401		276	275	$2K
94760		1,579	1,446	$1K
90471		100	100	$624.74
G0270	Mnt subs tx for change dx	69	69	$613.68
99406		38	37	$599.44
96160		22	22	$550.00
36415		823	758	$512.11
G0444	Depression screen annual	94	94	$363.11
G8420	Calc bmi norm parameters	72	62	$105.00
99442		33	27	$104.96
G8510	Scr dep neg, no plan reqd	80	79	$78.75
G8419	Calc bmi out nrm param nof/u	44	42	$71.25
99211		30	29	$36.63
G9622	No unheal etoh user	331	309	$36.00
G8417	Calc bmi abv up param f/u	729	667	$15.00
1126F		1,098	992	$8.00
3008F		1,466	1,317	$2.00
99080		73	13	$0.00
G9150	Medical home level iii	361	304	$0.00
1160F		419	369	$0.00
3016F		341	326	$0.00
3725F		139	136	$0.00
1159F		58	58	$0.00
0556F		15	15	$0.00
1090F		15	13	$0.00
G8427	Docrev cur meds by elig clin	44	44	$0.00
G8752	Sys bp less 140	14	12	$0.00
3288F		13	12	$0.00
1000F		361	349	$0.00
G9275	Doc of non tobacco user	202	188	$0.00
1036F		345	326	$0.00
S9451	Exercise class	155	141	$0.00
H0001	Alcohol and/or drug assess	158	146	$0.00
S9452	Nutrition class	159	144	$0.00
H0002	Alcohol and/or drug screenin	80	72	$0.00
99429		142	116	$0.00
4293F		44	44	$0.00
G8754	Dias bp less 90	31	24	$0.00
1170F		27	24	$0.00
2010F		31	31	$0.00
3017F		20	14	$0.00

Medicaid Provider Spending