PLOTNITSKIY, GENNADIY

$546K

Total Medicaid Paid

8,458

Total Claims

6,849

Beneficiaries

20

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	8,458	$546K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,869	2,243	$178K
76818		747	292	$90K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	965	881	$86K
76830	Ultrasound, transvaginal	583	574	$67K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	32	29	$62K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	152	149	$21K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	175	136	$19K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	49	49	$6K
36415	Collection of venous blood by venipuncture	1,562	1,270	$5K
81025		703	662	$5K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	94	59	$2K
A4550	Surgical trays	56	56	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$1K
80305		125	117	$896.40
87210		187	179	$832.75
56820		13	13	$557.35
81002		95	89	$222.60
86580		14	14	$75.37
J0670	Injection, mepivacaine hydrochloride, per 10 ml	13	13	$10.39
99000		12	12	$0.00

Medicaid Provider Spending