PENINSULA COMMUNITY HEALTH SERVICES

$3.62M

Total Medicaid Paid

117,866

Total Claims

109,536

Beneficiaries

74

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		48,555	44,334	$1.73M
99214		15,450	14,516	$765K
90832		3,533	3,179	$125K
99392		1,931	1,925	$124K
99391		1,814	1,749	$113K
90792		1,080	1,074	$102K
99393		1,588	1,586	$102K
80305		6,627	5,278	$69K
99212		2,594	2,492	$69K
90837		641	580	$59K
90791		560	559	$42K
90686		3,772	3,730	$40K
G0467	Fqhc visit, estab pt	5,043	4,611	$36K
92552		2,713	2,697	$36K
90471		4,030	3,986	$34K
99394		359	358	$27K
90688		1,750	1,740	$23K
87635		326	316	$16K
99203		276	274	$14K
90670		1,308	1,298	$13K
T1015	Clinic service	76	53	$9K
90698		733	725	$7K
96127		2,364	2,167	$6K
81025		902	798	$6K
90633		583	580	$5K
90715		222	222	$5K
90677		74	74	$5K
90744		448	446	$5K
90707		378	377	$3K
90716		385	384	$3K
90651		355	353	$3K
90480		62	62	$2K
97803		60	52	$2K
90685		190	190	$2K
99381		31	29	$1K
90680		209	207	$1K
90697		72	72	$1K
90681		122	120	$1K
90734		111	111	$1K
97802		25	25	$1K
90700		119	119	$980.76
90656		90	89	$976.60
90472		56	51	$760.25
91321		68	66	$540.96
90696		53	52	$501.94
90746		12	12	$484.22
87880		41	41	$460.96
90648		107	106	$432.76
90619		13	13	$347.93
90710		27	27	$340.69
81002		113	112	$288.72
99383		12	12	$230.68
G0101	Ca screen;pelvic/breast exam	12	12	$218.01
90723		43	43	$206.34
36415		48	46	$110.03
G2025	Dis site tele svcs rhc/fqhc	15	12	$36.82
96110		12	12	$19.35
3079F		400	390	$0.00
Q2036	Flulaval vacc, 3 yrs & >, im	45	45	$0.00
3074F		1,324	1,281	$0.00
G0008	Admin influenza virus vac	559	486	$0.00
3008F		827	807	$0.00
3080F		59	56	$0.00
3075F		43	39	$0.00
1036F		13	12	$0.00
1034F		14	14	$0.00
1159F		744	715	$0.00
3078F		881	846	$0.00
Q2038	Fluzone vacc, 3 yrs & >, im	138	137	$0.00
1160F		237	227	$0.00
3077F		139	131	$0.00
0502F		102	83	$0.00
G0444	Depression screen annual	86	67	$0.00
90662		62	46	$0.00

Medicaid Provider Spending