RUBEN J AYALA MD. PA

$251K

Total Medicaid Paid

50,018

Total Claims

36,028

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		16,206	10,632	$207K
99490	Ccm add 20min	2,982	1,910	$9K
99385		132	110	$8K
3074F		2,459	2,114	$7K
99214		533	359	$5K
G0439	Ppps, subseq visit	590	418	$4K
99396		33	32	$3K
99406		745	516	$2K
96372		934	462	$1K
93000		360	296	$1K
G0444	Depression screen annual	1,611	1,232	$1K
99386		16	13	$1K
36415		2,175	1,775	$550.96
99211		35	32	$294.39
3008F		2,367	1,994	$152.94
G0442	Annual alcohol screen 15 min	151	94	$112.79
99408		716	553	$69.77
G8419	Calc bmi out nrm param nof/u	790	569	$59.08
71046		40	28	$37.23
G2012	Brief check in by md/qhp	28	17	$31.35
G8427	Docrev cur meds by elig clin	2,225	1,589	$14.17
99499		1,578	878	$0.01
1159F		1,198	992	$0.00
99071		1,877	1,320	$0.00
3078F		1,519	1,319	$0.00
0521F		316	266	$0.00
1160F		1,075	893	$0.00
3288F		95	75	$0.00
G8417	Calc bmi abv up param f/u	129	100	$0.00
G8752	Sys bp less 140	40	28	$0.00
4013F		42	42	$0.00
1158F		30	28	$0.00
96160		19	12	$0.00
G8482	Flu immunize order/admin	28	26	$0.00
1125F		1,301	922	$0.00
G8510	Scr dep neg, no plan reqd	1,023	835	$0.00
1036F		2,939	2,179	$0.00
1170F		500	397	$0.00
G8420	Calc bmi norm parameters	115	89	$0.00
G8754	Dias bp less 90	35	26	$0.00
1126F		88	69	$0.00
3079F		489	426	$0.00
3044F		276	216	$0.00
1123F		163	131	$0.00
3075F		15	14	$0.00

Medicaid Provider Spending