MAINEHEALTH

$10.00M

Total Medicaid Paid

114,046

Total Claims

92,720

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	42,121	30,356	$8.69M
99214		27,115	24,163	$653K
99213		23,641	19,801	$410K
90832		2,966	1,837	$41K
G2025	Dis site tele svcs rhc/fqhc	545	406	$28K
99215	Prolong outpt/office vis	926	893	$25K
G0008	Admin influenza virus vac	2,233	2,042	$20K
91322		168	148	$18K
99212		704	625	$13K
G0439	Ppps, subseq visit	1,461	1,450	$12K
G2211	Complex e/m visit add on	1,429	1,350	$9K
90834		410	219	$8K
99396		1,811	1,702	$8K
90686		1,992	1,799	$8K
90480		232	190	$6K
0134A		167	161	$6K
90656		157	156	$6K
90791		504	337	$5K
99395		1,624	1,534	$4K
0064A		199	196	$4K
90677		56	54	$4K
91320		53	37	$3K
96372		397	331	$2K
G0009	Admin pneumococcal vaccine	209	191	$2K
C9803	Hopd covid-19 spec collect	210	197	$2K
99204		60	58	$2K
99203		158	154	$1K
90471		1,359	1,255	$1K
90662		86	84	$908.10
90837		67	37	$655.20
G0438	Ppps, initial visit	43	42	$559.44
92229		20	20	$408.36
96127		13	13	$322.97
99442		185	178	$273.40
99211		30	30	$223.83
36416		26	25	$203.01
G0071	Comm svcs by rhc/fqhc 5 min	53	50	$137.86
90715		223	215	$111.83
0011A		30	29	$74.58
0012A		65	65	$73.96
90472		31	31	$0.00
90633		12	12	$0.00
90734		14	14	$0.00
69209		15	12	$0.00
91301		202	197	$0.00
99443		12	12	$0.00
99441		12	12	$0.00

Medicaid Provider Spending