ASYLUM HILL FAMILY MEDICINE CENTER INC

$4.15M

Total Medicaid Paid

127,598

Total Claims

115,452

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		35,846	33,050	$1.95M
99214		24,126	21,864	$1.56M
90834		7,368	4,179	$387K
99442		3,238	2,888	$102K
90460		989	925	$33K
90686		3,126	2,933	$28K
90832		710	514	$26K
90791		175	155	$16K
99443		224	172	$8K
90471		1,791	1,669	$8K
98968		71	43	$3K
99393		27	26	$3K
83036		422	401	$2K
96127		125	118	$2K
99392		15	15	$2K
99238		81	67	$2K
99396		12	12	$2K
98967		30	19	$2K
90756		75	62	$2K
99391		13	12	$1K
90674		82	79	$997.92
99215	Prolong outpt/office vis	12	12	$953.44
99309		58	44	$731.04
G8510	Scr dep neg, no plan reqd	40	37	$692.40
90656		59	59	$491.70
G2211	Complex e/m visit add on	60	53	$251.32
92552		17	17	$217.26
99232		28	12	$117.75
99441		112	91	$115.92
99173		12	12	$91.20
G8419	Calc bmi out nrm param nof/u	16,300	15,329	$0.00
G8952	Pre-htn/htn, no f/u, not gvn	1,315	1,249	$0.00
G8754	Dias bp less 90	5,683	5,372	$0.00
3017F		3,704	3,453	$0.00
3014F		599	564	$0.00
1036F		1,754	1,607	$0.00
G0008	Admin influenza virus vac	13	12	$0.00
G8420	Calc bmi norm parameters	320	309	$0.00
G8755	Dias bp > or = 90	29	28	$0.00
G9226	3 comp foot exam completed	25	24	$0.00
3061F		16	13	$0.00
G8783	Bp scrn perf rec interval	14,718	13,974	$0.00
G8752	Sys bp less 140	3,465	3,303	$0.00
G8753	Sys bp > or = 140	376	361	$0.00
G8483	Flu imm no admin doc rea	162	151	$0.00
G8482	Flu immunize order/admin	161	149	$0.00
90661		14	14	$0.00

Medicaid Provider Spending