THAMPAN, ASHIS

$1.62M

Total Medicaid Paid

43,466

Total Claims

41,855

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		13,252	12,248	$777K
99392		1,500	1,490	$164K
99393		1,469	1,461	$145K
99391		1,081	1,069	$108K
99051		3,287	3,236	$85K
99394		838	827	$85K
99214		1,131	1,090	$78K
87880		3,089	3,033	$42K
87428		1,262	1,237	$41K
U0002	Covid-19 lab test non-cdc	712	701	$28K
92551		3,129	3,100	$15K
99173		3,128	3,100	$15K
G0009	Admin pneumococcal vaccine	421	421	$5K
G0008	Admin influenza virus vac	358	348	$4K
96161		769	765	$3K
99072		363	354	$3K
G2023	Specimen collect covid-19	152	150	$2K
90688		274	201	$2K
90670		557	524	$2K
90698		350	311	$2K
90749		89	89	$1K
96127		1,098	1,083	$968.78
90633		223	192	$866.25
90680		330	313	$820.05
96110		787	772	$783.26
90651		169	159	$762.30
87426		16	15	$645.60
96160		1,276	1,257	$579.69
90686		185	185	$485.10
90744		91	85	$415.80
90734		46	39	$369.60
81002		80	79	$349.97
87804		12	12	$324.92
G0444	Depression screen annual	31	30	$308.78
99188		12	12	$249.48
90677		182	171	$210.00
90710		28	28	$173.25
90620		67	67	$127.05
94760		25	25	$64.59
90697		175	163	$0.00
G8510	Scr dep neg, no plan reqd	363	359	$0.00
90619		87	86	$0.00
83655		141	139	$0.00
G9920	Scrning perf and negative	562	561	$0.00
80061		125	124	$0.00
90715		40	40	$0.00
G9919	Scrn nd pos nd prov of rec	47	47	$0.00
90661		57	57	$0.00

Medicaid Provider Spending