SANTA TERESA FAMILY MEDICAL CENTER

$2.02M

Total Medicaid Paid

42,378

Total Claims

38,458

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		16,756	14,422	$1.47M
99213		2,150	1,930	$139K
96372		2,565	2,273	$51K
99204		362	355	$46K
99215	Prolong outpt/office vis	505	467	$43K
36415		6,036	5,964	$30K
99203		270	265	$24K
99442		211	200	$21K
95165		88	13	$18K
95923		329	303	$16K
99396		148	148	$16K
80061		1,200	1,189	$15K
99443		116	97	$13K
93922		317	294	$13K
95921		392	363	$12K
J1020	Methylprednisolone 20 mg inj	1,046	935	$11K
83036		1,073	1,066	$10K
87428		153	140	$10K
90471		473	465	$10K
96130		54	53	$8K
90686		389	381	$7K
99395		36	36	$4K
82947		983	978	$4K
85025		415	415	$3K
93923		32	29	$2K
J1885	Ketorolac tromethamine inj	1,296	1,181	$2K
93000		184	172	$2K
81002		738	696	$2K
99211		111	109	$2K
96138		54	53	$2K
94640		198	162	$2K
87811		36	34	$1K
93970		12	12	$1K
J2930	Methylprednisolone injection	196	163	$914.17
J0696	Ceftriaxone sodium injection	436	397	$709.72
90658		47	46	$485.86
96127		14	14	$384.44
J2360	Orphenadrine injection	73	69	$357.85
87880		12	12	$170.94
G0444	Depression screen annual	14	14	$152.86
J1040	Methylprednisolone 80 mg inj	14	13	$87.79
G0008	Admin influenza virus vac	12	12	$33.56
Q2035	Afluria vacc, 3 yrs & >, im	13	13	$18.24
J7613	Albuterol non-comp unit	99	71	$2.93
J2001	Lidocaine injection	64	52	$1.76
99606		237	210	$0.12
1160F		196	177	$0.00
3077F		62	57	$0.00
3078F		1,092	974	$0.00
1159F		103	96	$0.00
3074F		907	813	$0.00
1170F		14	14	$0.00
1125F		27	26	$0.00
3075F		18	15	$0.00

Medicaid Provider Spending