GRAND RIVER HOSPITAL DISTRICT

$13.96M

Total Medicaid Paid

81,096

Total Claims

67,521

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		24,876	21,265	$6.46M
99214		18,969	15,289	$3.39M
90834		6,352	3,464	$1.08M
99212		2,244	1,928	$689K
96127		2,686	2,256	$496K
99215	Prolong outpt/office vis	3,523	2,721	$448K
99392		1,353	1,291	$311K
99391		790	764	$264K
99393		582	557	$199K
96110		415	400	$121K
90837		424	251	$118K
99394		271	262	$91K
99203		347	294	$75K
90832		513	371	$50K
99173		84	81	$34K
90791		76	69	$26K
99202		115	98	$22K
90471		7,325	6,793	$21K
90686		3,141	2,897	$11K
90792		54	52	$11K
99204		40	32	$6K
11042		132	74	$6K
99282		157	145	$5K
99174		101	95	$5K
90472		3,017	2,862	$4K
11721		245	167	$4K
99205	Prolong outpt/office vis	13	12	$4K
99284		42	41	$4K
99309		79	44	$3K
99177		26	26	$3K
99283		60	57	$3K
90651		162	155	$3K
90670		401	388	$3K
90734		84	84	$858.01
G8431	Pos clin depres scrn f/u doc	492	473	$456.90
99308		22	13	$373.04
D1206		434	410	$276.04
90648		419	403	$201.64
90633		43	42	$190.95
90863		66	44	$184.76
90723		154	148	$183.18
D0145		130	121	$146.00
90685		119	104	$134.51
G0511	Ccm/bhi by rhc/fqhc 20min mo	16	13	$58.32
G8510	Scr dep neg, no plan reqd	221	220	$0.00
90677		75	70	$0.00
90480		43	43	$0.00
G0444	Depression screen annual	118	87	$0.00
91321		33	33	$0.00
90681		12	12	$0.00

Medicaid Provider Spending