HEALTH PARTNERS OF WESTERN OHIO

$1.80M

Total Medicaid Paid

69,781

Total Claims

46,457

Beneficiaries

56

Codes Billed

2019-03

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	13,673	10,401	$1.04M
90832		8,496	3,288	$184K
92014		4,165	3,096	$107K
99213		4,388	2,154	$93K
92015		8,809	6,074	$60K
99384		965	565	$36K
V2020	Vision svcs frames purchases	2,562	2,428	$35K
92002		2,945	1,749	$30K
V2100	Lens spher single plano 4.00	1,443	1,315	$29K
99394		650	376	$22K
90460		1,402	838	$20K
92340		1,130	1,109	$20K
92587		1,822	1,064	$18K
92004		846	620	$18K
99212		851	462	$12K
V2784	Lens polycarb or equal	2,568	2,410	$12K
99203		440	240	$11K
V2103	Spherocylindr 4.00d/12-2.00d	901	886	$10K
99202		405	215	$7K
99188		610	543	$6K
86703		636	555	$5K
92012		349	256	$3K
87426		80	77	$3K
99173		1,992	1,207	$2K
83036		371	328	$2K
J1050	Medroxyprogesterone acetate	39	12	$2K
0001A		86	50	$2K
0071A		71	46	$2K
92551		441	258	$1K
0072A		57	26	$1K
90651		292	163	$870.34
99385		22	12	$810.48
82962		605	335	$741.27
99383		30	12	$682.09
87880		48	48	$558.62
96372		81	36	$531.88
D1206		213	96	$497.25
V2104	Spherocylindr 4.00d/2.12-4d	53	50	$483.00
0002A		28	12	$455.76
81025		113	60	$335.92
90620		167	93	$181.20
90619		435	254	$160.53
87804		13	13	$136.51
90734		156	83	$135.88
90715		164	112	$46.76
90686		78	46	$21.52
91300		302	155	$0.54
91307		157	87	$0.32
3008F		1,555	885	$0.00
3044F		417	235	$0.00
1036F		1,159	780	$0.00
3074F		158	75	$0.00
4004F		21	12	$0.00
90461		180	87	$0.00
96160		35	18	$0.00
3078F		106	50	$0.00

Medicaid Provider Spending