1205189446

$2.19M

Total Medicaid Paid

50,357

Total Claims

44,187

Beneficiaries

33

Codes Billed

2018-01

First Month

2024-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0483	Drug test def 22+ classes	4,001	3,251	$562K
80307		12,695	11,185	$538K
99213		18,714	16,132	$439K
G0480	Drug test def 1-7 classes	3,646	3,376	$260K
99490	Ccm add 20min	4,576	4,413	$93K
62323		621	514	$73K
99203		1,110	988	$62K
G0482	Drug test def 15-21 classes	440	409	$54K
J0702	Betamethasone acet&sod phosp	1,452	1,201	$26K
99439		681	662	$15K
77002		359	260	$10K
J3300	Triamcinolone a inj prs-free	48	44	$9K
20610		197	147	$6K
64493		80	62	$6K
99204		45	40	$3K
J3301	Triamcinolone acet inj nos	495	390	$3K
64635		12	12	$3K
64494		70	60	$3K
64495		71	60	$3K
82306		89	84	$3K
82670		89	84	$2K
62321		16	12	$2K
64636		12	12	$2K
84403		89	84	$2K
82626		89	84	$2K
84270		89	84	$2K
84144		89	84	$2K
83001		89	84	$2K
83002		89	84	$2K
82533		89	84	$1K
82607		89	84	$1K
99491	Ccm add 20min	27	27	$1K
G0506	Comp asses care plan ccm svc	99	90	$176.22

Medicaid Provider Spending