MOUNTAIN VIEW IMAGING ASSOCIATES, PC

$626K

Total Medicaid Paid

33,270

Total Claims

31,025

Beneficiaries

60

Codes Billed

2018-01

First Month

2020-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
74177		1,031	1,009	$76K
71045		6,800	5,574	$44K
77067		1,099	1,096	$42K
71046		4,596	4,507	$41K
76700		1,149	1,141	$41K
76856		1,297	1,284	$40K
70450		1,237	1,202	$39K
76830		1,218	1,209	$38K
76705		1,283	1,252	$32K
76815		850	800	$32K
74176		322	317	$22K
72148		344	339	$20K
77063		1,086	1,082	$16K
76642		376	279	$11K
76536		436	430	$10K
73562		1,042	944	$9K
72100		910	893	$9K
74018		951	888	$7K
76770		228	225	$7K
70551		131	129	$7K
99152		296	270	$6K
73721		115	111	$6K
73630		839	783	$6K
93971		346	338	$6K
73130		760	677	$6K
73610		757	709	$6K
76641		155	119	$5K
73030		592	543	$5K
74240		138	133	$4K
72125		86	83	$3K
71275		55	55	$3K
73110		446	399	$3K
93970		132	128	$3K
70498		52	50	$3K
72040		248	244	$2K
70553		24	24	$2K
73221		29	29	$2K
70496		25	25	$1K
73502		166	158	$1K
72110		67	67	$971.85
73140		156	150	$951.79
72141		14	14	$854.48
76870		24	24	$701.78
76819		14	13	$676.27
76942		27	27	$663.55
71250		12	12	$443.79
73080		25	24	$195.22
72050		15	14	$190.00
74022		13	13	$186.84
73090		16	15	$121.37
77080		13	13	$117.83
72072		12	12	$108.91
73590		13	12	$95.28
G9637	Doc >1 dose reduc tech	28	28	$0.01
G9319	Image not std nomenclature	252	232	$0.00
G9322	No cnt ct nuc med doc 12mo	374	351	$0.00
G9638	No doc >1 dose reduc tech	120	116	$0.00
G9551	Imag no les	26	24	$0.00
G9329	Norsn no dicom format doc	93	93	$0.00
G9326	Ct done no rad ds index, nrg	309	293	$0.00

Medicaid Provider Spending