SAN MARCOS MEDICAL GROUP INC.

$901K

Total Medicaid Paid

36,826

Total Claims

31,703

Beneficiaries

71

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99212		4,438	3,924	$150K
Z1034		1,799	1,340	$111K
99381		1,040	1,009	$102K
99213		3,278	3,009	$100K
59425		2,625	1,875	$74K
99391		708	662	$59K
J3490	Drugs unclassified injection	669	578	$58K
Z1032		297	297	$48K
99214		698	673	$23K
Z6500		145	145	$18K
76801		271	269	$17K
99215	Prolong outpt/office vis	233	232	$16K
S9083	Urgent care center global	226	200	$12K
Z6410		1,274	917	$10K
81025		3,456	3,255	$8K
H1003	Prenatal at risk education	1,909	1,364	$8K
92551		587	587	$6K
90670		593	592	$5K
76805		61	61	$5K
99000		1,884	1,777	$5K
G8510	Scr dep neg, no plan reqd	493	493	$5K
90647		542	541	$5K
99384		39	27	$5K
99383		49	37	$5K
90680		455	455	$4K
90723		418	418	$4K
99393		45	30	$4K
S0197	Prenatal vitamins 30 day	2,725	1,518	$4K
99392		43	28	$3K
Z6400		141	141	$2K
82947		903	826	$2K
88141		244	240	$2K
96110		27	27	$2K
87491		56	55	$2K
81002		1,085	1,000	$2K
90677		88	88	$1K
85014		742	678	$1K
99401		80	80	$1K
90633		126	126	$1K
H1001	Antepartum management	80	55	$970.20
93000		47	47	$878.13
Z6200		53	53	$819.56
Z6300		53	53	$819.56
Z6402		53	53	$819.56
90713		81	81	$729.00
90688		44	44	$665.18
Z6406		81	81	$626.85
Z6304		70	70	$542.82
Z6204		70	70	$542.82
85018		245	210	$525.65
90734		51	51	$459.00
90715		50	50	$450.00
90700		41	41	$369.00
0502F		151	126	$350.00
90658		30	29	$346.83
S9445	Pt education noc individ	17	17	$216.24
90651		17	17	$153.00
G0444	Depression screen annual	12	12	$142.54
90710		12	12	$108.00
96127		15	15	$71.40
99396		13	13	$0.00
3078F		23	23	$0.00
99173		16	16	$0.00
99204		13	13	$0.00
3008F		152	151	$0.00
H0049	Alcohol/drug screening	25	25	$0.00
3074F		22	22	$0.00
G9012	Other specified case mgmt	730	612	$0.00
2001F		40	40	$0.00
97802		12	12	$0.00
3079F		15	15	$0.00

Medicaid Provider Spending