TAOS CLINIC FOR CHILDREN AND YOUTH

$3.07M

Total Medicaid Paid

77,411

Total Claims

73,312

Beneficiaries

68

Codes Billed

2018-01

First Month

2021-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		11,304	10,293	$677K
99214		4,486	4,132	$422K
90460		10,071	9,921	$268K
99392		2,589	2,568	$261K
99393		2,538	2,535	$256K
99173		6,575	6,545	$244K
90461		5,048	4,104	$208K
99391		1,603	1,570	$167K
99394		1,649	1,637	$164K
92587		3,920	3,895	$79K
92558		2,502	2,494	$78K
96110		3,774	3,708	$47K
99212		688	515	$27K
S9999	Sales tax	3,258	2,854	$26K
0071A		435	418	$16K
99401		557	557	$15K
99211		746	464	$14K
87880		761	746	$12K
0072A		300	300	$12K
0002A		188	188	$7K
90833		121	118	$7K
0001A		164	163	$6K
90471		296	295	$6K
92551		412	411	$5K
99215	Prolong outpt/office vis	34	28	$4K
83655		317	316	$4K
95115		493	272	$4K
87804		224	147	$4K
96127		804	801	$4K
Q3014	Telehealth originating site facility fee	141	127	$4K
90672		757	750	$3K
G0444	Annual depression screening, 5 to 15 minutes	372	372	$3K
99381		12	12	$2K
90473		90	90	$2K
85018		693	692	$2K
94640		152	144	$2K
95117		159	76	$1K
99441		27	27	$1K
99188		121	119	$1K
90785		102	101	$1K
96161		269	260	$1K
87807		58	56	$757.00
94010		14	14	$440.50
80061		31	31	$387.27
90685		17	17	$353.70
36416		107	107	$326.46
81002		25	24	$83.26
G8510	Screening for depression is documented as negative, a follow-up plan is not required	71	70	$70.00
90686		3,628	3,615	$33.91
J1100	Injection, dexamethasone sodium phosphate, 1 mg	19	15	$13.91
90670		1,103	1,096	$8.41
91307		756	722	$6.43
91300		496	460	$4.64
90680		470	470	$3.60
90651		376	375	$3.44
90756		342	341	$3.30
90633		350	344	$2.53
90734		195	193	$1.53
90723		137	137	$1.12
90698		146	146	$1.03
90648		102	102	$0.85
90696		37	37	$0.29
90710		25	25	$0.22
90715		25	25	$0.20
90744		19	19	$0.15
99000		84	80	$0.11
90716		13	13	$0.09
90707		13	13	$0.07

Medicaid Provider Spending