KOLLI MEDICAL CORPORATION

$91K

Total Medicaid Paid

129,887

Total Claims

124,220

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		15,633	14,851	$39K
99213		9,312	8,986	$15K
99308		1,397	795	$14K
99204		1,455	1,454	$5K
99203		532	519	$4K
99233	Prolong inpt eval add15 m	99	43	$3K
99223	Prolong inpt eval add15 m	42	41	$3K
G8510	Scr dep neg, no plan reqd	4,802	4,603	$2K
99395		654	652	$1K
99442		2,120	1,925	$1K
99385		314	313	$790.72
99238		22	22	$744.40
G0444	Depression screen annual	3,044	2,931	$307.05
98966		1,335	1,265	$284.33
99211		298	282	$266.64
99212		400	393	$263.64
96156		194	194	$187.82
G8431	Pos clin depres scrn f/u doc	19	19	$58.76
88152		76	74	$45.52
88155		76	74	$25.80
90471		64	26	$4.42
3725F		5,529	5,272	$0.00
1159F		6,712	6,414	$0.00
3078F		8,393	8,148	$0.00
99408		192	175	$0.00
G9920	Scrning perf and negative	566	553	$0.00
3288F		4,738	4,541	$0.00
1160F		6,840	6,538	$0.00
0518F		4,470	4,283	$0.00
3077F		2,131	2,068	$0.00
99396		271	269	$0.00
90460		22	12	$0.00
0521F		716	688	$0.00
Q0091	Obtaining screen pap smear	30	30	$0.00
G9919	Scrn nd pos nd prov of rec	74	74	$0.00
3079F		3,216	3,155	$0.00
1220F		7,162	6,870	$0.00
3075F		1,431	1,405	$0.00
3008F		7,260	6,950	$0.00
99386		103	103	$0.00
3074F		10,151	9,817	$0.00
3080F		2,139	2,066	$0.00
1036F		7,970	7,706	$0.00
1126F		4,222	4,067	$0.00
1034F		410	405	$0.00
99383		13	13	$0.00
1125F		1,018	983	$0.00
1101F		143	141	$0.00
H0049	Alcohol/drug screening	1,822	1,765	$0.00
3044F		96	92	$0.00
1170F		123	119	$0.00
99443		36	36	$0.00

Medicaid Provider Spending