AWAN, FARIDA

$2.25M

Total Medicaid Paid

55,390

Total Claims

49,129

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99215	Prolong outpt/office vis	7,666	6,472	$898K
99214		3,575	3,154	$321K
87636		1,865	1,495	$174K
99401		3,148	2,772	$78K
99393		1,129	1,104	$75K
99392		977	948	$64K
87635		1,156	934	$48K
G0315	Counsel immune <21 5-15 m	1,632	1,455	$48K
90460		1,198	1,135	$44K
92551		2,678	2,553	$41K
96110		2,525	2,380	$41K
G2023	Specimen collect covid-19	2,127	1,688	$41K
99394		514	498	$34K
87804		1,836	1,572	$31K
87880		1,945	1,642	$25K
87502		536	257	$24K
G0312	Immunize couns < 21yr 5-15 m	1,570	1,408	$19K
94664		2,006	1,736	$19K
90670		692	673	$18K
90686		876	846	$16K
90461		383	367	$16K
96127		2,299	2,172	$15K
99213		247	225	$15K
99391		229	211	$14K
U0002	Covid-19 lab test non-cdc	378	275	$12K
99173		2,591	2,469	$11K
90648		565	547	$10K
87651		367	346	$10K
87426		325	226	$8K
96160		2,861	2,677	$8K
90723		339	335	$7K
99000		2,264	1,857	$7K
87634		146	138	$6K
90680		297	293	$6K
87430		486	458	$6K
99204		43	39	$6K
90633		239	235	$5K
90651		125	116	$5K
90707		217	210	$5K
90716		168	163	$4K
87807		407	373	$4K
G0314	Counsel immune <21 16-30 m	109	106	$3K
90734		82	75	$2K
G0313	Immunize couns < 21yr 6-30 m	108	105	$1K
99212		13	13	$491.00
96161		162	149	$441.31
90715		28	25	$440.90
90672		17	16	$330.82
99211		17	13	$228.00
90696		12	12	$217.69
81002		70	67	$186.66
96372		14	14	$120.00
Q0247	Sotrovimab	119	68	$0.00
G0447	Behavior counsel obesity 15m	12	12	$0.00

Medicaid Provider Spending