NGO, DEAN

$838K

Total Medicaid Paid

66,211

Total Claims

62,689

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		8,568	7,898	$266K
99497		3,416	3,402	$155K
99213		5,019	4,609	$143K
G0444	Depression screen annual	3,214	3,205	$57K
96156		2,224	2,217	$52K
99233	Prolong inpt eval add15 m	2,285	467	$24K
99454		1,741	1,732	$16K
99211		3,021	2,848	$15K
99204		130	123	$13K
90756		692	692	$13K
96151		842	841	$12K
99457		2,053	2,048	$9K
99091		2,011	1,955	$9K
99223	Prolong inpt eval add15 m	446	415	$7K
36415		2,313	2,270	$7K
99349		1,111	1,046	$6K
99458		1,315	1,310	$5K
90471		622	619	$5K
G0439	Ppps, subseq visit	236	236	$4K
99239		335	322	$4K
99215	Prolong outpt/office vis	62	54	$4K
96372		486	462	$2K
90688		140	140	$2K
G0008	Admin influenza virus vac	675	675	$2K
90694		253	253	$1K
96150		62	62	$1K
G0181	Home health care supervision	29	29	$676.27
90686		42	42	$619.21
G0438	Ppps, initial visit	15	15	$567.25
99310	Prolong nursin fac eval 15m	273	271	$253.56
0124A		31	31	$209.28
90653		38	38	$131.75
99453		15	15	$65.70
G8510	Scr dep neg, no plan reqd	2,130	2,124	$0.63
1170F		2,775	2,768	$0.39
1126F		2,061	2,054	$0.14
3288F		458	458	$0.13
1123F		298	298	$0.13
3725F		2,806	2,799	$0.12
3720F		1,623	1,623	$0.10
1125F		635	635	$0.08
G8427	Docrev cur meds by elig clin	96	96	$0.03
1159F		1,479	1,472	$0.02
3078F		992	973	$0.01
1090F		27	27	$0.01
1157F		1,427	1,420	$0.01
3008F		1,510	1,466	$0.01
1160F		1,480	1,473	$0.00
1158F		1,463	1,456	$0.00
3755F		54	54	$0.00
1111F		27	26	$0.00
3074F		1,004	982	$0.00
3079F		118	114	$0.00
3075F		33	29	$0.00

Medicaid Provider Spending