BOKERMANN, MATTHEW

$515K

Total Medicaid Paid

33,527

Total Claims

29,797

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
70450		2,078	1,968	$114K
74177		1,710	1,643	$64K
74176		1,782	1,691	$59K
76705		1,190	1,135	$20K
71046		4,252	3,937	$20K
71045		5,635	4,685	$20K
73630		1,895	1,561	$19K
71250		983	928	$18K
76770		643	629	$17K
72100		1,452	1,382	$17K
76536		571	548	$15K
71260		551	505	$15K
77067		726	721	$14K
73610		1,032	848	$13K
73130		1,223	930	$11K
73030		1,093	938	$10K
74178		222	216	$8K
73562		739	593	$7K
77063		486	483	$7K
76700		307	306	$6K
72125		228	206	$6K
73560		661	495	$6K
73110		528	440	$5K
74018		1,082	971	$5K
93971		465	418	$4K
71271		89	84	$2K
73502		411	371	$2K
72040		199	196	$2K
76642		87	77	$1K
72131		64	63	$1K
70486		38	38	$1K
72110		44	44	$671.86
G0297	Ldct for lung ca screen	38	38	$636.93
73080		64	55	$607.01
G0279	Tomosynthesis, mammo	44	44	$586.06
93970		41	40	$529.65
73140		35	29	$321.30
72050		12	12	$134.45
73090		13	13	$77.00
93880		12	12	$67.00
G9551	Imag no les	84	58	$0.00
G9638	No doc >1 dose reduc tech	165	115	$0.00
G9319	Image not std nomenclature	125	73	$0.00
G9322	No cnt ct nuc med doc 12mo	125	73	$0.00
G9329	Norsn no dicom format doc	126	74	$0.00
G9557	Ct/cta/mri/a no thyr <1.0cm	25	13	$0.00
G9326	Ct done no rad ds index, nrg	126	74	$0.00
7025F		26	24	$0.00

Medicaid Provider Spending