PROHEALTH CLINIC PLLC

$1.38M

Total Medicaid Paid

28,993

Total Claims

25,621

Beneficiaries

50

Codes Billed

2019-07

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		10,761	9,040	$607K
99214		5,065	4,465	$432K
99203		1,855	1,852	$126K
99395		551	536	$48K
87635		818	765	$34K
99215	Prolong outpt/office vis	299	286	$30K
99204		224	224	$26K
99396		176	171	$16K
86328		550	485	$15K
99211		850	678	$14K
36415		2,573	2,468	$11K
99212		171	161	$6K
99443		39	38	$4K
99442		47	46	$3K
99000		632	601	$2K
87880		199	198	$2K
87804		211	201	$2K
99202		29	29	$1K
99394		12	12	$1K
J3420	Vitamin b12 injection	525	344	$723.30
87426		14	14	$486.85
81002		160	157	$422.29
90756		16	16	$387.80
90471		36	35	$346.92
96372		43	33	$319.06
99406		15	12	$124.64
96127		42	42	$108.16
83036		14	13	$88.44
83037		15	15	$88.44
81025		12	12	$78.43
82044		17	17	$67.08
83013		12	12	$50.00
81001		17	17	$39.30
81003		25	25	$29.92
J1885	Ketorolac tromethamine inj	12	12	$17.74
1159F		372	344	$0.75
1160F		418	373	$0.66
3077F		49	43	$0.03
G8419	Calc bmi out nrm param nof/u	422	352	$0.00
3079F		71	64	$0.00
3074F		309	250	$0.00
0001F		373	324	$0.00
3075F		21	18	$0.00
G8420	Calc bmi norm parameters	179	153	$0.00
3078F		330	271	$0.00
G8417	Calc bmi abv up param f/u	101	93	$0.00
99072		104	103	$0.00
4551F		77	72	$0.00
3725F		112	112	$0.00
G2012	Brief check in by md/qhp	18	17	$0.00

Medicaid Provider Spending