ARLINGTON PHYSICIANS CHOICE A MEDICAL CORPORATION

$111K

Total Medicaid Paid

38,930

Total Claims

35,619

Beneficiaries

59

Codes Billed

2018-01

First Month

2024-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99212		3,184	2,859	$58K
99202		126	104	$19K
99384		62	49	$8K
99213		4,553	4,041	$8K
93000		134	134	$3K
97802		459	435	$3K
99000		1,816	1,748	$2K
92551		426	425	$2K
96156		805	790	$2K
92015		166	165	$1K
H0049	Alcohol/drug screening	1,977	1,888	$985.03
99408		781	745	$725.00
99396		101	100	$700.00
90649		82	82	$594.00
90734		57	57	$513.00
85018		669	622	$424.75
G0444	Depression screen annual	492	480	$395.00
90715		39	39	$351.00
90471		127	127	$318.11
G8510	Scr dep neg, no plan reqd	1,470	1,451	$289.11
G0447	Behavior counsel obesity 15m	1,311	1,231	$189.70
G9920	Scrning perf and negative	33	33	$125.00
4004F		868	851	$90.28
36415		369	353	$90.00
81002		199	193	$4.26
3008F		4,657	4,062	$1.00
1159F		1,780	1,574	$0.69
1160F		1,237	1,102	$0.69
1036F		1,636	1,565	$0.50
1126F		1,019	942	$0.37
1125F		827	727	$0.16
0001F		18	18	$0.03
3078F		2,893	2,499	$0.02
3074F		2,829	2,449	$0.01
92552		127	126	$0.00
99394		56	56	$0.00
99173		385	384	$0.00
3077F		66	61	$0.00
99446		40	39	$0.00
81003		154	148	$0.00
82947		29	27	$0.00
G8431	Pos clin depres scrn f/u doc	33	33	$0.00
99211		26	26	$0.00
1158F		15	15	$0.00
G0442	Annual alcohol screen 15 min	72	68	$0.00
3075F		90	84	$0.00
96150		85	85	$0.00
3079F		180	169	$0.00
83036		12	12	$0.00
90686		25	25	$0.00
3351F		66	66	$0.00
99447		53	47	$0.00
99406		28	27	$0.00
3352F		16	16	$0.00
82962		43	41	$0.00
99441		62	60	$0.00
3048F		30	29	$0.00
3049F		19	19	$0.00
1101F		16	16	$0.00

Medicaid Provider Spending