MIGRACE MEDICAL PRACTICE PC

$21K

Total Medicaid Paid

21,975

Total Claims

20,741

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		2,832	2,515	$9K
3079F		1,806	1,647	$2K
G0444	Depression screen annual	529	523	$2K
3074F		1,161	1,053	$2K
83036		307	301	$1K
94010		34	33	$905.35
85027		797	785	$897.96
99396		133	132	$430.90
3075F		384	361	$355.00
3078F		153	137	$245.00
36415		885	867	$227.97
93000		22	18	$205.68
99212		80	75	$192.32
80061		730	721	$189.85
90658		47	46	$171.71
99497		40	40	$170.03
99441		53	50	$160.60
G8510	Scr dep neg, no plan reqd	493	490	$130.00
82043		854	842	$99.27
80053		898	887	$91.87
99606		358	346	$80.01
99442		24	24	$60.00
90471		35	35	$50.47
1170F		351	341	$30.00
3061F		421	418	$30.00
G8427	Docrev cur meds by elig clin	343	330	$20.00
1126F		289	281	$20.00
81001		730	716	$13.19
1159F		356	345	$10.00
H0049	Alcohol/drug screening	17	17	$10.00
1160F		355	345	$5.00
3008F		1,614	1,470	$0.02
G8417	Calc bmi abv up param f/u	258	233	$0.00
3288F		349	338	$0.00
4025F		25	25	$0.00
1158F		355	343	$0.00
4013F		628	559	$0.00
3725F		473	468	$0.00
4135F		25	25	$0.00
3351F		450	447	$0.00
G8473	Ace/arb thxpy rx'd	258	225	$0.00
G8420	Calc bmi norm parameters	836	770	$0.00
3017F		118	111	$0.00
3044F		306	302	$0.00
4010F		303	263	$0.00
A4556	Electrodes, pair	20	16	$0.00
S0257	End of life counseling	328	316	$0.00
3014F		46	44	$0.00
3048F		41	40	$0.00
4015F		25	25	$0.00

Medicaid Provider Spending