FARLEY, MARLON

$854K

Total Medicaid Paid

21,281

Total Claims

18,422

Beneficiaries

39

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	872	805	$255K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,242	1,922	$253K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	988	845	$77K
Z1034		1,010	720	$55K
99401		2,320	2,272	$44K
J3490	Unclassified drugs	417	341	$40K
96156		532	528	$35K
Z6410		1,606	1,113	$12K
99000		3,669	3,539	$12K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	714	714	$9K
Z1032		50	50	$8K
92551		708	706	$6K
Z6500		50	50	$6K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	142	123	$6K
S0197	Prenatal vitamins, 30-day supply	2,463	1,421	$4K
Z6406		426	354	$3K
G9920	Screening performed and negative	132	132	$3K
Z6400		214	208	$3K
Z6304		360	285	$3K
Z6204		350	298	$3K
0001A		59	59	$2K
86328		53	48	$2K
99383		14	14	$2K
0002A		45	45	$2K
96150		112	112	$2K
81025		576	572	$2K
J0696	Injection, ceftriaxone sodium, per 250 mg	162	155	$822.55
90658		80	80	$641.45
81000		311	311	$563.29
D1206	Topical application of fluoride varnish	27	27	$476.68
81003		239	237	$392.99
G9919	Screening performed and positive and provision of recommendations	12	12	$348.00
81002		183	181	$312.91
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	45	45	$171.45
90744		13	13	$112.50
90686		12	12	$108.00
90715		14	14	$101.25
85018		47	47	$70.79
87110		12	12	$57.72

Medicaid Provider Spending