MOLINA, JOHN

$632K

Total Medicaid Paid

36,915

Total Claims

30,695

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		6,886	5,327	$233K
99491	Ccm add 20min	2,997	2,952	$189K
99213		4,600	3,548	$110K
96372		2,189	1,402	$31K
96365		640	422	$25K
99212		586	485	$9K
99454		588	587	$9K
99457		588	587	$7K
G0506	Comp asses care plan ccm svc	122	116	$5K
99211		441	234	$4K
87635		64	58	$2K
99490	Ccm add 20min	71	71	$2K
J7050	Normal saline solution infus	645	427	$2K
J3420	Vitamin b12 injection	441	320	$1K
81002		800	777	$575.19
99215	Prolong outpt/office vis	16	14	$486.05
J1100	Dexamethasone sodium phos	180	147	$353.14
G2058	Ccm add 20min	28	28	$269.88
36415		1,317	1,280	$195.14
J0702	Betamethasone acet&sod phosp	34	27	$187.09
J2010	Lincomycin injection	16	14	$150.48
1126F		1,095	946	$147.19
3078F		1,373	1,202	$147.19
1159F		1,520	1,315	$132.74
96127		33	33	$101.15
J0696	Ceftriaxone sodium injection	23	13	$81.62
82962		106	90	$80.06
97010		21	13	$75.27
99453		13	13	$69.81
36416		187	152	$55.14
3079F		691	626	$37.50
3077F		440	391	$3.36
2001F		325	285	$0.00
3008F		2,550	2,150	$0.00
3074F		1,345	1,181	$0.00
1170F		547	466	$0.00
3075F		255	235	$0.00
3044F		165	148	$0.00
1000F		782	691	$0.00
3080F		139	134	$0.00
3048F		44	37	$0.00
1125F		100	94	$0.00
1101F		20	20	$0.00
2010F		324	284	$0.00
1160F		1,507	1,304	$0.00
1090F		45	37	$0.00
3050F		16	12	$0.00

Medicaid Provider Spending