MCDONALD, ELANA

$431K

Total Medicaid Paid

18,509

Total Claims

16,571

Beneficiaries

56

Codes Billed

2018-01

First Month

2023-03

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		1,067	945	$90K
99213		1,244	1,138	$78K
99392		452	434	$49K
99393		418	397	$43K
99394		360	342	$38K
99391		294	283	$30K
S9470	Nutritional counseling, dietitian visit	1,297	1,252	$28K
S9451	Exercise classes, non-physician provider, per session	880	850	$14K
92551		951	901	$8K
Q3014	Telehealth originating site facility fee	314	304	$8K
90460		1,593	798	$6K
92552		209	200	$6K
96110		421	360	$3K
87426		83	73	$3K
99173		1,173	1,110	$2K
90670		323	323	$2K
90686		302	296	$2K
99212		53	53	$2K
0001A		66	65	$2K
90648		321	321	$2K
99381		13	13	$2K
90723		192	192	$1K
0002A		26	26	$1K
90707		148	148	$1K
99461		13	12	$1K
90633		153	153	$990.00
90716		137	137	$930.00
90461		236	171	$912.33
96127		169	169	$680.68
0071A		17	17	$680.00
0072A		17	17	$680.00
90734		109	109	$650.00
90681		83	83	$600.00
87880		48	37	$594.90
90471		38	38	$580.20
90651		68	68	$480.00
99072		2,977	2,603	$466.47
96161		253	232	$431.64
99177		49	49	$370.08
96160		207	206	$152.60
90700		44	33	$110.00
90620		12	12	$90.00
90696		12	12	$70.00
80061		200	190	$0.00
99188		98	92	$0.00
87804		15	15	$0.00
99051		72	67	$0.00
83655		373	371	$0.00
90685		60	60	$0.00
91300		53	49	$0.00
G9919	Screening performed and positive and provision of recommendations	554	510	$0.00
88738		80	80	$0.00
36415		49	43	$0.00
85018		39	39	$0.00
85013		27	27	$0.00
91307		47	46	$0.00

Medicaid Provider Spending