1013083401

$102K

Total Medicaid Paid

6,746

Total Claims

6,309

Beneficiaries

49

Codes Billed

2018-01

First Month

2020-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		1,219	1,089	$58K
99213		595	563	$27K
99408		121	119	$3K
99401		103	101	$2K
99497		43	43	$2K
99385		26	26	$2K
99386		16	16	$1K
99396		14	14	$1K
97802		46	43	$1K
94060		17	17	$998.37
93000		141	141	$919.79
99211		40	39	$430.72
96160		129	128	$344.28
96127		91	90	$335.90
99487	Ccm add 20min	12	12	$297.45
99490	Ccm add 20min	56	56	$239.06
96161		141	139	$232.16
G0442	Annual alcohol screen 15 min	28	28	$212.43
36415		500	486	$167.62
G0447	Behavior counsel obesity 15m	24	21	$153.30
99406		15	12	$89.28
G9905	No pt tbco scrn rng	29	28	$47.50
94760		61	59	$34.34
G8427	Docrev cur meds by elig clin	89	86	$10.50
G8417	Calc bmi abv up param f/u	13	12	$7.00
1170F		132	129	$0.01
1126F		74	73	$0.01
1125F		41	41	$0.01
0521F		51	51	$0.01
3079F		47	46	$0.00
3044F		211	192	$0.00
3008F		365	330	$0.00
99000		249	243	$0.00
G9903	Pt scrn tbco id as non user	67	63	$0.00
3074F		144	126	$0.00
2000F		118	115	$0.00
G8754	Dias bp less 90	36	34	$0.00
G8732	No doc of pain	23	22	$0.00
1157F		18	18	$0.00
1101F		60	60	$0.00
1159F		519	459	$0.00
3078F		148	136	$0.00
1160F		485	422	$0.00
1494F		166	164	$0.00
G8752	Sys bp less 140	35	33	$0.00
3725F		129	127	$0.00
G9744	Pt not eli d/t act dig htn	32	31	$0.00
G8431	Pos clin depres scrn f/u doc	12	12	$0.00
3077F		15	14	$0.00

Medicaid Provider Spending