ASHRAF, HADIA

$11K

Total Medicaid Paid

29,124

Total Claims

28,093

Beneficiaries

53

Codes Billed

2018-12

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99215	Prolong outpt/office vis	1,513	1,487	$8K
90688		115	115	$2K
99497		26	26	$385.04
90658		21	21	$336.63
99214		93	88	$270.60
G0439	Ppps, subseq visit	69	68	$136.34
99205	Prolong outpt/office vis	13	13	$78.85
3078F		882	837	$17.32
G8431	Pos clin depres scrn f/u doc	1,092	1,067	$1.66
G8510	Scr dep neg, no plan reqd	383	376	$0.01
3288F		1,396	1,367	$0.00
99396		195	194	$0.00
1090F		1,358	1,331	$0.00
4004F		458	374	$0.00
1160F		1,649	1,577	$0.00
G8942	Doc fcn/care plan w/30 days	340	326	$0.00
G9920	Scrning perf and negative	308	308	$0.00
99395		63	62	$0.00
0521F		807	788	$0.00
1158F		1,392	1,364	$0.00
3725F		1,472	1,429	$0.00
0518F		149	141	$0.00
G8427	Docrev cur meds by elig clin	346	331	$0.00
3077F		73	73	$0.00
1159F		1,623	1,551	$0.00
Q0091	Obtaining screen pap smear	14	14	$0.00
1091F		17	16	$0.00
1101F		1,382	1,354	$0.00
3074F		958	913	$0.00
1123F		455	433	$0.00
1170F		1,587	1,521	$0.00
2023F		234	228	$0.00
1126F		797	784	$0.00
3014F		505	497	$0.00
3079F		597	591	$0.00
3075F		412	406	$0.00
3044F		1,195	1,141	$0.00
3008F		1,502	1,450	$0.00
1125F		611	599	$0.00
3017F		90	89	$0.00
1034F		184	181	$0.00
1157F		117	115	$0.00
G0008	Admin influenza virus vac	12	12	$0.00
3072F		70	69	$0.00
1036F		2,060	1,953	$0.00
99407		189	121	$0.00
4144F		12	12	$0.00
G8420	Calc bmi norm parameters	39	39	$0.00
3061F		79	73	$0.00
4140F		12	12	$0.00
1111F		43	43	$0.00
90471		87	87	$0.00
1038F		28	26	$0.00

Medicaid Provider Spending