SOUID, SALIM

$2.80M

Total Medicaid Paid

76,857

Total Claims

66,371

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		30,824	23,799	$1.66M
99214		7,905	7,032	$649K
99203		3,300	3,284	$195K
90460		2,213	2,146	$40K
99393		599	595	$40K
87880		3,180	3,083	$37K
99204		238	238	$21K
87635		499	465	$19K
99392		252	252	$17K
99394		214	209	$15K
G0438	Ppps, initial visit	172	166	$12K
87426		483	445	$10K
87811		1,033	855	$10K
87804		821	802	$9K
G2023	Specimen collect covid-19	2,231	1,817	$8K
U0002	Covid-19 lab test non-cdc	167	164	$6K
94640		630	607	$6K
90461		370	346	$5K
99401		201	189	$4K
90658		261	258	$4K
87502		492	488	$4K
36415		2,854	2,783	$3K
G0445	High inten beh couns std 30m	227	225	$2K
99211		349	100	$2K
99441		91	90	$2K
99212		333	283	$2K
87651		1,030	990	$1K
94760		6,660	5,939	$1K
99442		44	44	$1K
99395		17	17	$1K
99383		14	14	$1K
81002		647	634	$1K
99384		13	13	$1K
87637		31	31	$850.00
87798		2,232	2,156	$442.14
G0447	Behavior counsel obesity 15m	39	36	$318.44
U0003	Cov-19 amp prb hgh thruput	49	49	$75.00
87400		296	295	$68.41
85018		372	364	$60.29
36410		44	40	$28.78
U0005	Infec agen detec ampli probe	49	49	$25.00
99051		14	13	$24.40
99000		4,552	4,163	$9.00
99080		552	544	$0.00
90670		25	25	$0.00
90715		12	12	$0.00
90707		21	21	$0.00
90633		12	12	$0.00
87501		43	41	$0.00
90734		13	13	$0.00
G8420	Calc bmi norm parameters	120	118	$0.00
90716		17	17	$0.00

Medicaid Provider Spending