THE VILLAGE MEDICAL CLINIC

$1.98M

Total Medicaid Paid

49,938

Total Claims

45,878

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		9,573	8,164	$940K
99213		5,896	5,449	$388K
99393		1,795	1,688	$114K
99392		1,375	1,282	$86K
90688		4,242	3,997	$77K
99394		1,103	1,054	$71K
99391		1,011	962	$66K
87880		3,445	3,184	$45K
87804		1,155	1,083	$24K
99401		713	664	$20K
90687		961	917	$18K
92551		3,239	3,047	$15K
87807		1,357	1,274	$14K
99173		3,584	3,366	$14K
90651		690	651	$13K
90670		657	639	$12K
81002		2,963	2,734	$8K
94667		436	380	$6K
36415		2,974	2,796	$6K
D1206		331	314	$5K
94640		436	380	$4K
90680		182	175	$3K
90648		176	170	$3K
94729		107	100	$3K
94727		107	100	$3K
90671		120	118	$2K
90633		132	120	$2K
90700		105	102	$2K
90460		74	70	$2K
99204		14	12	$2K
90707		90	86	$2K
90716		89	85	$2K
90734		90	84	$2K
90621		73	68	$1K
96372		170	131	$1K
90697		53	52	$1K
94375		43	41	$984.00
71046		31	29	$547.96
90713		27	26	$534.33
90715		31	26	$494.75
74018		29	27	$454.22
90723		12	12	$237.48
J0696	Injection, ceftriaxone sodium, per 250 mg	92	69	$191.97
83655		12	12	$180.00
36416		69	67	$162.50
D0145		14	12	$154.00
G0315	Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)	60	59	$0.00

Medicaid Provider Spending