MARYAM RAHNEMUN MD INC

$208K

Total Medicaid Paid

22,659

Total Claims

21,455

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		4,171	3,764	$83K
99215	Prolong outpt/office vis	310	309	$38K
99213		5,364	4,814	$32K
99454		2,067	2,061	$11K
90682		266	266	$10K
90471		797	790	$8K
99457		2,480	2,474	$8K
99458		1,393	1,390	$6K
99204		29	29	$2K
90662		38	38	$2K
90686		93	93	$2K
G2012	Brief check in by md/qhp	1,567	1,401	$1K
99203		247	247	$879.80
88150		116	116	$878.74
99406		101	101	$450.79
99396		137	137	$395.00
99453		47	47	$351.39
99385		25	25	$287.19
2000F		872	838	$162.00
3008F		263	262	$156.20
99386		15	15	$140.00
90673		12	12	$135.21
G8510	Scr dep neg, no plan reqd	94	94	$124.56
G0444	Depression screen annual	185	183	$121.50
93000		15	15	$105.94
90653		28	28	$100.00
3078F		103	103	$88.41
99212		26	25	$88.15
96150		54	54	$78.03
96372		13	12	$53.71
G9393	Ini phq9 >9 remiss <5	116	116	$37.50
3017F		38	37	$37.50
3074F		110	110	$37.50
G8752	Sys bp less 140	233	228	$37.50
2010F		49	49	$30.00
96151		14	14	$30.00
G0438	Ppps, initial visit	15	15	$30.00
1125F		105	104	$24.00
1036F		51	50	$24.00
36410		39	39	$10.80
G8420	Calc bmi norm parameters	280	279	$0.00
G8754	Dias bp less 90	276	268	$0.00
1170F		37	37	$0.00
96127		40	40	$0.00
96156		36	36	$0.00
90845		30	30	$0.00
96125		42	41	$0.00
G0442	Annual alcohol screen 15 min	28	28	$0.00
0521F		75	74	$0.00
1159F		12	12	$0.00
1158F		62	62	$0.00
2014F		25	25	$0.00
G8482	Flu immunize order/admin	18	18	$0.00

Medicaid Provider Spending