PAIN EVALUATION & MANAGEMENT CENTER OF OHIO, INC.

$914K

Total Medicaid Paid

34,276

Total Claims

30,885

Beneficiaries

42

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		10,097	9,257	$335K
99213		14,813	13,697	$300K
G0482	Drug test def 15-21 classes	991	930	$124K
80307		2,441	2,292	$93K
99204		250	244	$18K
97110		601	235	$8K
G0483	Drug test def 22+ classes	33	31	$5K
E0730	Tens four lead	14	12	$2K
80346		107	105	$2K
01992		54	40	$2K
80363		107	105	$2K
80361		107	105	$2K
97112		99	40	$2K
83992		107	105	$1K
99203		26	26	$1K
80349		107	105	$1K
80353		107	105	$1K
80358		107	105	$1K
80359		107	105	$1K
80354		107	105	$1K
80365		107	105	$1K
80373		107	105	$1K
80372		107	105	$1K
80348		107	105	$1K
80355		107	105	$1K
80356		107	105	$1K
80366		107	105	$1K
80325		105	103	$983.10
62370		42	36	$862.52
76942		26	24	$606.69
80345		53	51	$483.32
80336		53	51	$483.32
J3301	Triamcinolone acet inj nos	162	122	$455.68
80323		53	51	$453.34
99212		29	29	$277.73
99211		62	58	$238.34
A4649	Surgical supplies	1,369	979	$185.66
J1100	Dexamethasone sodium phos	140	102	$130.61
Q9966	Locm 200-299mg/ml iodine,1ml	277	211	$129.51
S0020	Injection, bupivicaine hydro	298	240	$20.00
A4215	Sterile needle	413	308	$0.00
A4550	Surgical trays	63	36	$0.00

Medicaid Provider Spending