FOREST HILL FAMILY HEALTH ASSOCIATES P A

$1.02M

Total Medicaid Paid

56,755

Total Claims

52,667

Beneficiaries

47

Codes Billed

2018-01

First Month

2022-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		23,381	20,840	$540K
99396		2,625	2,606	$139K
99213		4,345	4,094	$86K
99395		1,386	1,378	$68K
99215	Prolong outpt/office vis	2,164	2,089	$43K
99496		483	477	$26K
90471		1,330	1,314	$16K
90688		955	951	$15K
96127		4,675	4,590	$12K
82947		4,116	3,788	$8K
99204		229	229	$8K
93000		1,757	1,721	$7K
99442		927	826	$7K
90756		618	600	$6K
G0439	Ppps, subseq visit	991	981	$4K
96372		1,211	1,089	$4K
99211		1,055	822	$4K
99394		75	74	$4K
99443		288	268	$3K
99385		37	37	$2K
99397		88	88	$2K
99406		570	555	$2K
99483	Prolong outpt/office vis	58	48	$1K
99212		43	41	$800.38
99386		12	12	$720.80
99497		114	114	$689.21
99407		112	105	$611.68
90658		40	40	$507.14
99490	Ccm add 20min	411	410	$501.03
G0008	Admin influenza virus vac	504	493	$386.99
98960		805	729	$380.23
90674		12	12	$269.16
99441		46	44	$235.06
81000		149	145	$195.63
99421		26	26	$162.28
G0438	Ppps, initial visit	16	13	$132.93
G0444	Depression screen annual	236	235	$125.15
97802		359	305	$119.50
86580		26	25	$101.55
82948		93	88	$98.32
99350	Prolong home eval add 15m	67	62	$90.48
82962		123	108	$71.64
94640		25	25	$49.54
J1885	Ketorolac tromethamine inj	64	63	$32.00
J1100	Dexamethasone sodium phos	40	40	$18.00
81002		29	29	$13.96
G0506	Comp asses care plan ccm svc	39	38	$13.52

Medicaid Provider Spending