DELAWARE PRIMARY CARE LLC

$912K

Total Medicaid Paid

26,629

Total Claims

23,833

Beneficiaries

33

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		11,009	9,604	$504K
99214		6,128	5,510	$326K
99442		539	474	$21K
99396		122	121	$11K
99395		105	103	$10K
90674		478	448	$9K
90471		714	663	$8K
99490	Ccm add 20min	1,190	1,015	$7K
99204		147	133	$3K
0012A		76	76	$3K
99496		108	99	$2K
99487	Ccm add 20min	245	220	$2K
99212		45	41	$2K
90686		328	296	$2K
0011A		84	80	$1K
99203		25	25	$1K
99497		152	130	$329.72
90653		52	47	$264.52
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	164	141	$212.06
0013A		19	13	$200.00
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	63	42	$77.76
90694		15	14	$66.43
86580		12	12	$27.35
91301		120	119	$0.23
90662		15	14	$0.00
3078F		1,660	1,565	$0.00
G0444	Annual depression screening, 5 to 15 minutes	71	63	$0.00
3044F		101	96	$0.00
3075F		284	273	$0.00
3079F		487	467	$0.00
3074F		1,833	1,720	$0.00
G0008	Administration of influenza virus vaccine	224	197	$0.00
2023F		14	12	$0.00

Medicaid Provider Spending