DRYNACHAN LLC

$2.99M

Total Medicaid Paid

142,309

Total Claims

122,745

Beneficiaries

50

Codes Billed

2018-01

First Month

2022-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99343		15,341	13,386	$1.56M
99342		3,851	3,851	$1.20M
99348		1,881	1,822	$195K
99349		754	598	$36K
99347		197	196	$8K
83036		36	28	$101.53
T1028	Home environment assessment	1,707	1,636	$89.11
1158F		12,492	10,712	$0.00
4145F		3,083	2,568	$0.00
G8509	Pos pain assess no f/u doc	829	825	$0.00
3078F		8,564	7,318	$0.00
1159F		15,428	13,324	$0.00
3077F		1,497	1,336	$0.00
G8427	Docrev cur meds by elig clin	2,079	2,028	$0.00
1160F		15,384	13,287	$0.00
G8477	Bp sys>=140 and/or dias >=90	808	786	$0.00
1090F		640	640	$0.00
3016F		577	575	$0.00
G8476	Bp sys <140 and dias <90	550	533	$0.00
G8731	Pain neg no plan	391	367	$0.00
1003F		288	288	$0.00
3288F		485	485	$0.00
1100F		12	12	$0.00
83037		90	90	$0.00
2022F		39	39	$0.00
1124F		65	65	$0.00
G0444	Depression screen annual	92	92	$0.00
G8730	Pain doc pos and plan	150	150	$0.00
82274		12	12	$0.00
S3005	Eval self-assess depression	25	25	$0.00
3008F		11,232	9,555	$0.00
1170F		17,068	13,080	$0.00
1125F		5,493	4,930	$0.00
3074F		5,806	4,973	$0.00
3075F		1,000	882	$0.00
1126F		5,019	4,317	$0.00
99429		6,154	4,891	$0.00
H0001	Alcohol and/or drug assess	508	506	$0.00
3080F		139	134	$0.00
3079F		1,327	1,188	$0.00
1101F		332	332	$0.00
1220F		92	92	$0.00
4010F		194	194	$0.00
G9273	Sys<140 and dia<90	78	78	$0.00
99341		216	216	$0.00
82044		27	27	$0.00
1123F		114	114	$0.00
99406		69	68	$0.00
92250		58	58	$0.00
3044F		36	36	$0.00

Medicaid Provider Spending