GORIS, JOSE

$234K

Total Medicaid Paid

12,601

Total Claims

10,412

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		2,338	2,255	$105K
99212		2,416	2,100	$76K
99214		393	378	$21K
93000		853	848	$6K
99397		79	77	$6K
90750		68	66	$5K
90471		727	719	$5K
94010		125	124	$3K
99396		38	38	$2K
96160		47	47	$1K
99490	Ccm add 20min	32	32	$795.58
G0270	Mnt subs tx for change dx	27	27	$703.52
90756		30	30	$488.81
96127		227	226	$416.67
G0442	Annual alcohol screen 15 min	271	252	$362.98
36415		581	550	$351.16
G0444	Depression screen annual	200	187	$343.83
90688		14	14	$195.40
94762		12	12	$124.30
99000		256	227	$117.93
1160F		190	187	$94.74
G8427	Docrev cur meds by elig clin	106	103	$62.00
G8510	Scr dep neg, no plan reqd	63	62	$50.00
G9150	Medical home level iii	279	263	$9.00
94760		86	79	$5.02
1126F		26	26	$5.00
1159F		59	58	$5.00
3078F		25	25	$2.50
82947		31	28	$0.79
A4245	Alcohol wipes per box	29	27	$0.20
1036F		56	56	$0.10
A6413	Adhesive bandage, first-aid	26	25	$0.10
A4927	Non-sterile gloves	32	29	$0.04
3008F		80	79	$0.03
4293F		40	40	$0.03
2001F		13	13	$0.01
99429		717	669	$0.00
H0001	Alcohol and/or drug assess	39	39	$0.00
G8754	Dias bp less 90	47	46	$0.00
97802		68	68	$0.00
1000F		30	30	$0.00
2000F		13	13	$0.00
A4556	Electrodes, pair	13	13	$0.00
G8752	Sys bp less 140	41	40	$0.00
97803		27	27	$0.00
3725F		58	58	$0.00
99080		1,633	60	$0.00
G9622	No unheal etoh user	27	27	$0.00
3016F		13	13	$0.00

Medicaid Provider Spending