ARTHUR E. JIMENEZ, M.D., INC.

$65K

Total Medicaid Paid

37,300

Total Claims

36,253

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99497		2,026	1,991	$38K
99213		2,845	2,757	$9K
99334		279	275	$5K
99212		1,862	1,795	$4K
93000		123	118	$3K
99214		764	755	$1K
90658		61	60	$803.76
G9920	Scrning perf and negative	1,060	1,050	$608.71
G0444	Depression screen annual	1,566	1,531	$558.71
92560		365	347	$442.78
97802		2,610	2,587	$316.80
90471		240	163	$304.90
92015		363	347	$262.64
99395		54	54	$261.90
99406		126	121	$257.75
G8431	Pos clin depres scrn f/u doc	668	650	$250.78
G0447	Behavior counsel obesity 15m	2,942	2,882	$178.20
G8510	Scr dep neg, no plan reqd	1,233	1,197	$138.46
1000F		1,496	1,467	$74.89
G2012	Brief check in by md/qhp	62	62	$62.78
G0442	Annual alcohol screen 15 min	23	23	$16.33
H0049	Alcohol/drug screening	841	832	$0.00
3008F		3,165	3,098	$0.00
3079F		799	773	$0.00
3074F		3,411	3,276	$0.00
3048F		303	285	$0.00
83036		654	627	$0.00
3080F		175	157	$0.00
1111F		44	42	$0.00
96156		358	357	$0.00
3075F		225	214	$0.00
3044F		71	67	$0.00
99385		17	12	$0.00
82044		13	13	$0.00
1036F		32	32	$0.00
3078F		3,197	3,084	$0.00
1159F		1,195	1,159	$0.00
96160		732	722	$0.00
1124F		151	151	$0.00
1160F		412	409	$0.00
99396		254	246	$0.00
3077F		428	411	$0.00
99211		14	13	$0.00
99394		29	29	$0.00
G8511	Scr dep pos, no plan doc rng	12	12	$0.00

Medicaid Provider Spending