OLATHE COMMUNITY CLINIC INC.

$6.59M

Total Medicaid Paid

45,210

Total Claims

34,775

Beneficiaries

49

Codes Billed

2018-08

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		9,755	7,729	$2.11M
99214		7,100	5,772	$1.51M
90832		5,410	2,826	$1.35M
90837		3,388	1,638	$743K
D0999		1,930	1,696	$615K
90834		547	352	$119K
99203		135	111	$34K
80305		2,090	1,491	$23K
99204		65	64	$18K
90686		130	125	$17K
36415		327	321	$12K
99408		1,293	1,221	$8K
G8510	Scr dep neg, no plan reqd	960	896	$4K
96127		1,063	992	$4K
83036		921	822	$3K
82962		1,067	907	$2K
99211		20	14	$2K
36416		1,772	1,540	$2K
G8431	Pos clin depres scrn f/u doc	407	386	$2K
90688		259	184	$2K
0012A		26	26	$1K
0011A		27	26	$988.32
G0246	Followup eval of foot pt lop	129	127	$889.42
81002		337	283	$889.09
90471		1,016	893	$626.37
G0467	Fqhc visit, estab pt	79	54	$608.31
90674		144	143	$599.86
0013A		13	13	$494.16
D0150		76	76	$300.00
81025		80	63	$298.93
D1110		120	118	$180.00
D0220		38	38	$70.00
D0120		39	39	$56.00
G0245	Initial foot exam pt lops	33	32	$0.00
82043		52	52	$0.00
91301		95	92	$0.00
D0140		70	67	$0.00
87426		26	25	$0.00
87637		86	48	$0.00
1160F		1,530	1,291	$0.00
1159F		2,209	1,845	$0.00
G0444	Depression screen annual	13	13	$0.00
D0274		104	104	$0.00
G9919	Scrn nd pos nd prov of rec	13	13	$0.00
D0330		31	31	$0.00
80061		27	27	$0.00
90687		103	96	$0.00
91313		13	12	$0.00
97803		42	41	$0.00

Medicaid Provider Spending