SANTANA, RITA

$309K

Total Medicaid Paid

47,259

Total Claims

46,635

Beneficiaries

51

Codes Billed

2018-02

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90460		3,516	3,472	$63K
G0447	Behavior counsel obesity 15m	3,964	3,945	$63K
99213		2,867	2,678	$37K
99212		3,954	3,707	$23K
90472		669	666	$15K
99394		1,065	1,065	$15K
90471		1,105	1,097	$15K
99393		1,176	1,174	$13K
G0444	Depression screen annual	1,157	1,156	$13K
99392		798	793	$11K
99173		2,973	2,969	$9K
94640		442	423	$7K
92551		3,461	3,457	$6K
97802		1,805	1,798	$4K
90686		2,435	2,430	$3K
99391		102	97	$3K
0072A		42	41	$1K
0001A		33	33	$1K
99441		182	172	$1K
0071A		34	34	$1K
99395		103	103	$1K
0002A		14	14	$593.12
H0001	Alcohol and/or drug assess	1,579	1,577	$516.19
86580		53	53	$433.08
99442		607	584	$275.65
99406		38	38	$160.00
3016F		1,326	1,325	$25.00
90633		52	52	$10.04
96110		12	12	$5.52
3008F		3,071	3,068	$0.06
83655		115	115	$0.05
87081		145	144	$0.05
91300		88	82	$0.02
3725F		1,322	1,321	$0.00
1033F		455	455	$0.00
G8417	Calc bmi abv up param f/u	1,369	1,366	$0.00
90670		39	38	$0.00
87491		75	74	$0.00
90734		40	40	$0.00
90685		54	54	$0.00
90707		13	13	$0.00
91307		78	74	$0.00
G8510	Scr dep neg, no plan reqd	1,222	1,221	$0.00
90620		54	54	$0.00
1000F		1,329	1,328	$0.00
87591		73	72	$0.00
G8420	Calc bmi norm parameters	1,190	1,189	$0.00
1036F		862	861	$0.00
90716		40	40	$0.00
91301		12	12	$0.00
90651		49	49	$0.00

Medicaid Provider Spending