AVA MEDICAL CORPORATION

$1.54M

Total Medicaid Paid

32,092

Total Claims

31,017

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		5,912	5,884	$448K
99212		4,311	3,684	$394K
99202		979	819	$166K
96156		2,943	2,907	$131K
99215	Prolong outpt/office vis	1,245	1,232	$83K
99213		758	743	$77K
96110		570	570	$40K
99497		619	599	$28K
99205	Prolong outpt/office vis	312	305	$27K
99395		313	310	$26K
96151		608	605	$17K
G8510	Scr dep neg, no plan reqd	1,640	1,617	$15K
99385		182	182	$14K
96127		2,815	2,778	$13K
G8431	Pos clin depres scrn f/u doc	501	489	$11K
S9445	Pt education noc individ	617	617	$8K
96150		299	299	$7K
88150		399	397	$6K
92551		458	457	$6K
G0439	Ppps, subseq visit	87	87	$6K
90686		478	476	$5K
99393		43	43	$2K
99391		45	45	$2K
G0101	Ca screen;pelvic/breast exam	162	160	$1K
99394		14	14	$990.22
87880		140	140	$844.55
80061		64	64	$597.70
85018		187	187	$436.80
81002		127	127	$381.23
G0438	Ppps, initial visit	32	32	$350.00
98960		25	25	$320.00
87110		18	18	$275.32
99401		44	44	$207.68
Q0091	Obtaining screen pap smear	25	25	$141.12
81025		42	42	$116.48
99173		30	30	$115.04
86580		26	26	$112.58
2000F		543	542	$109.00
81000		16	16	$105.83
90651		13	13	$97.00
3008F		547	546	$50.00
G8476	Bp sys <140 and dias <90	1,649	1,612	$50.00
G8420	Calc bmi norm parameters	488	476	$0.00
1030F		243	242	$0.00
3014F		203	203	$0.00
3048F		12	12	$0.00
3044F		42	42	$0.00
3017F		17	17	$0.00
G8417	Calc bmi abv up param f/u	870	848	$0.00
G8427	Docrev cur meds by elig clin	346	336	$0.00
G8482	Flu immunize order/admin	18	18	$0.00
3078F		15	15	$0.00

Medicaid Provider Spending