TRINITY HEALTH - MICHIGAN · NPI 1154584373

$2.53M

Total Medicaid Paid

86,030

Total Claims

81,533

Beneficiaries

66

Codes Billed

2018-01

First Month

2021-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0467	Fqhc visit, estab pt	20,095	17,919	$1.43M
99402		4,751	4,343	$379K
59426		132	130	$234K
G0468	Fqhc visit, ippe or awv	2,646	2,582	$193K
G0466	Fqhc visit new patient	668	664	$77K
H2000	Comp multidisipln evaluation	606	567	$57K
G0470	Fqhc visit, mh estab pt	459	310	$29K
99213		9,086	8,323	$25K
59425		14	14	$14K
99214		4,980	4,628	$14K
99393		1,642	1,636	$11K
99394		1,120	1,120	$10K
99392		2,167	2,155	$10K
90471		6,182	6,124	$8K
H1000	Prenatal care atrisk assessm	84	84	$7K
90472		3,341	3,317	$7K
99391		2,340	2,269	$7K
J1050	Medroxyprogesterone acetate	30	30	$2K
D0190		928	922	$2K
90651		557	555	$2K
T1023	Program intake assessment	14	14	$1K
90837		119	79	$1K
90686		2,445	2,431	$1K
87880		251	248	$962.77
99188		1,017	1,011	$948.81
83036		781	774	$836.84
96372		236	222	$811.07
36415		1,569	1,500	$776.42
99395		60	60	$569.38
92551		1,157	1,145	$562.44
96110		802	791	$469.20
90474		1,169	1,168	$445.95
99381		140	139	$433.60
90670		1,730	1,726	$429.95
36416		2,134	2,058	$418.88
85018		758	751	$258.64
81025		277	267	$217.33
82962		548	536	$195.82
99396		73	72	$179.78
90715		314	314	$129.80
96161		699	695	$123.38
69210		14	14	$106.20
81003		360	350	$100.73
99212		126	121	$76.08
82044		44	43	$14.62
96127		32	25	$13.68
99406		12	12	$8.12
90662		76	67	$4.99
G0008	Admin influenza virus vac	79	67	$0.66
90723		1,080	1,079	$0.00
90716		341	341	$0.00
90680		1,190	1,188	$0.00
90647		1,239	1,233	$0.00
90688		20	20	$0.00
90620		57	57	$0.00
90698		145	143	$0.00
90696		190	190	$0.00
90744		111	110	$0.00
90734		404	403	$0.00
90700		369	364	$0.00
90710		205	205	$0.00
90633		830	828	$0.00
90707		319	319	$0.00
90685		613	608	$0.00
90713		14	14	$0.00
99203		39	39	$0.00

Medicaid Provider Spending