UPMC WESTERN MARYLAND CORPORATION

$2.85M

Total Medicaid Paid

67,984

Total Claims

51,566

Beneficiaries

52

Codes Billed

2018-01

First Month

2023-02

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		14,052	11,401	$877K
99214		10,888	9,741	$641K
99232		5,603	1,920	$207K
93306		3,416	3,138	$138K
99223	Prolong inpt eval add15 m	1,623	1,221	$112K
99212		5,828	3,187	$112K
99395		945	924	$112K
99222		2,100	1,613	$99K
99204		1,057	1,014	$88K
99291		752	200	$83K
93000		2,343	2,220	$53K
99215	Prolong outpt/office vis	1,320	1,134	$51K
H1003	Prenatal at risk education	4,627	3,293	$47K
90960		392	390	$46K
99233	Prolong inpt eval add15 m	1,576	750	$41K
93010		6,561	5,131	$26K
43239		347	323	$24K
99203		442	413	$20K
99396		111	111	$14K
95806		124	122	$8K
99231		508	164	$5K
93244		274	263	$5K
93016		383	365	$5K
99221		58	55	$4K
99202		53	53	$4K
93018		383	365	$3K
96372		217	205	$3K
99255		15	15	$3K
99205	Prolong outpt/office vis	53	47	$3K
94727		472	446	$2K
94729		471	443	$2K
45380		13	12	$2K
99385		12	12	$2K
99443		72	55	$1K
99442		140	101	$1K
81025		142	136	$941.10
94060		119	115	$792.82
90961		110	110	$551.49
93227		27	27	$547.15
99454		35	27	$401.48
G2012	Brief check in by md/qhp	89	86	$316.40
95251		12	12	$290.41
99406		13	12	$288.03
93308		58	50	$213.58
90471		16	12	$160.43
G0008	Admin influenza virus vac	18	18	$158.78
93280		12	12	$79.02
99441		13	13	$65.00
93294		13	13	$60.27
0298T		13	13	$5.26
90962		45	45	$0.00
90682		18	18	$0.00

Medicaid Provider Spending