ROOSEVELT CARDIO VASCULAR DIAGNOSTIC, P.C.

$842K

Total Medicaid Paid

27,494

Total Claims

25,278

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		2,757	2,538	$278K
93306		816	811	$158K
99213		826	724	$64K
99204		397	397	$60K
95923		323	320	$37K
93922		403	400	$34K
93970		189	186	$31K
99401		2,750	2,484	$30K
H0001	Alcohol and/or drug assess	1,190	1,039	$23K
95921		286	283	$21K
G0447	Behavior counsel obesity 15m	1,363	1,228	$20K
93272		717	711	$16K
93880		72	72	$13K
93925		51	50	$12K
93000		1,470	1,455	$10K
99203		60	60	$7K
78452		15	15	$6K
93978		42	42	$6K
G9744	Pt not eli d/t act dig htn	833	753	$5K
A9500	Tc99m sestamibi	15	15	$3K
G9622	No unheal etoh user	764	676	$2K
3078F		1,316	1,235	$2K
3074F		1,280	1,191	$2K
93015		15	15	$895.60
3079F		230	215	$380.00
99211		12	12	$231.50
3075F		118	114	$220.00
J2785	Regadenoson injection	15	15	$190.32
A4556	Electrodes, pair	406	404	$162.19
3077F		124	115	$20.00
G8420	Calc bmi norm parameters	831	756	$17.50
36415		14	14	$8.10
A4930	Sterile, gloves per pair	14	14	$2.00
3008F		2,183	1,967	$0.00
1000F		397	344	$0.00
1125F		69	66	$0.00
1126F		314	274	$0.00
2010F		397	346	$0.00
1036F		371	324	$0.00
99000		13	13	$0.00
1159F		1,945	1,754	$0.00
1160F		347	303	$0.00
G8417	Calc bmi abv up param f/u	867	774	$0.00
3725F		81	63	$0.00
0521F		399	346	$0.00
3016F		397	345	$0.00

Medicaid Provider Spending