LAKESIDE PRIMARY CARE, PSC

$1.44M

Total Medicaid Paid

73,832

Total Claims

55,151

Beneficiaries

45

Codes Billed

2019-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		33,190	24,813	$908K
99349		7,428	4,313	$347K
96372		8,194	5,482	$99K
99203		1,099	826	$39K
J0696	Ceftriaxone sodium injection	1,070	883	$19K
99348		133	85	$6K
99335		135	109	$5K
99396		64	57	$4K
99343		73	53	$4K
36415		1,205	960	$2K
J1885	Ketorolac tromethamine inj	1,158	906	$2K
99214		54	49	$2K
G0447	Behavior counsel obesity 15m	601	466	$2K
J3420	Vitamin b12 injection	1,242	974	$2K
90471		177	152	$833.85
99212		37	27	$799.05
J1100	Dexamethasone sodium phos	1,600	1,360	$759.32
90756		100	91	$710.46
99395		14	12	$508.80
0013A		12	12	$430.00
86580		78	71	$261.34
90656		18	14	$223.50
99344		19	15	$223.47
90688		51	40	$142.56
87880		13	12	$137.95
81002		109	94	$88.06
87804		17	12	$74.46
3074F		2,215	1,831	$4.71
1126F		1,823	1,507	$4.58
3078F		1,749	1,450	$3.93
1125F		1,332	1,127	$3.43
3079F		973	829	$2.41
3044F		477	421	$1.25
3075F		324	291	$1.02
3077F		304	264	$0.97
J3490	Drugs unclassified injection	35	25	$0.96
3080F		190	166	$0.46
1160F		3,272	2,650	$0.05
1036F		2,078	1,724	$0.01
1034F		976	819	$0.01
3061F		47	40	$0.00
G0439	Ppps, subseq visit	87	67	$0.00
0134A		13	12	$0.00
1159F		33	28	$0.00
91313		13	12	$0.00

Medicaid Provider Spending