OMNI FAMILY HEALTH

$4.65M

Total Medicaid Paid

137,697

Total Claims

91,466

Beneficiaries

51

Codes Billed

2018-12

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	37,815	27,099	$4.63M
H1001	Antepartum management	7,380	4,548	$9K
99213		18,400	11,821	$9K
59425		2,319	1,509	$2K
99214		3,504	2,463	$885.67
99215	Prolong outpt/office vis	329	250	$394.78
59025		4,637	1,093	$326.52
81005		15,410	9,531	$289.67
H1003	Prenatal at risk education	561	535	$285.94
H1002	Carecoordination prenatal	24	24	$271.66
59430		208	189	$241.92
99212		3,626	2,758	$225.26
81003		10,959	6,076	$209.17
81025		6,542	4,786	$209.13
99203		838	650	$198.27
76815		411	210	$188.85
S9445	Pt education noc individ	260	250	$92.51
96156		339	299	$75.70
99000		5,047	3,796	$68.93
3074F		459	268	$62.44
J3490	Drugs unclassified injection	267	206	$44.64
99202		279	255	$34.30
97803		51	51	$25.23
99401		32	32	$21.35
90471		13	12	$18.76
81000		579	418	$14.62
87490		197	162	$7.12
87590		197	162	$7.12
2001F		814	484	$0.00
Z1034		9,627	6,532	$0.00
1036F		676	399	$0.00
3008F		815	484	$0.00
1111F		670	389	$0.00
Z6410		504	483	$0.00
Z6406		94	92	$0.00
Z1038		354	336	$0.00
Z6204		202	201	$0.00
Z1032		54	54	$0.00
H2000	Comp multidisipln evaluation	12	12	$0.00
85018		58	47	$0.00
G8754	Dias bp less 90	387	238	$0.00
3079F		123	80	$0.00
Z6400		1,022	966	$0.00
3078F		310	174	$0.00
Z6500		253	252	$0.00
G8752	Sys bp less 140	404	248	$0.00
Z6304		452	399	$0.00
90715		90	62	$0.00
Q0091	Obtaining screen pap smear	15	12	$0.00
99201		54	54	$0.00
59426		24	15	$0.00

Medicaid Provider Spending