LEVY, NICOLE

$3K

Total Medicaid Paid

272

Total Claims

239

Beneficiaries

3

Codes Billed

2023-07

First Month

2024-10

Last Month

Year	Claims	Total Paid
2023	89	$911.38
2024	183	$2K

Code	Description	Claims	Beneficiaries	Total Paid
70450	Computed tomography, head or brain; without contrast material	78	74	$3K
G9638	Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)	166	139	$0.00
G9557	Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found	28	26	$0.00

Medicaid Provider Spending