CLARE MEDICAL OF NEW JERSEY LLC

$797K

Total Medicaid Paid

59,800

Total Claims

49,559

Beneficiaries

55

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99349		18,843	15,167	$423K
99350	Prolong home eval add 15m	4,607	3,870	$159K
99443		4,223	3,403	$74K
99348		2,126	1,826	$38K
99457		5,226	4,234	$21K
99458		3,829	3,103	$18K
99344		480	425	$17K
99490	Ccm add 20min	7,211	6,539	$16K
99454		3,229	2,573	$10K
99343		99	99	$3K
G0180	Md certification hha patient	636	560	$3K
93000		898	783	$2K
99439		1,781	1,299	$2K
93923		352	294	$2K
G0438	Ppps, initial visit	24	24	$2K
99493		190	123	$2K
G0439	Ppps, subseq visit	231	193	$1K
99497		55	54	$974.90
94010		123	119	$599.36
11721		153	153	$484.42
90686		87	80	$462.42
G2058	Ccm add 20min	127	127	$442.79
90756		62	62	$431.30
93922		71	48	$194.17
90471		19	19	$190.80
G0008	Admin influenza virus vac	196	182	$131.38
G0108	Diab manage trn per indiv	53	48	$123.81
99489	Ccm add 20min	77	77	$106.80
92548		56	45	$84.00
90694		34	32	$61.04
11720		27	27	$56.84
99487	Ccm add 20min	148	147	$35.44
99423		39	30	$31.04
11056		19	19	$15.16
96127		31	19	$12.31
99453		269	184	$8.72
11719		13	13	$1.99
3079F		14	13	$1.00
3077F		228	200	$1.00
1170F		280	230	$0.00
3074F		284	266	$0.00
1157F		13	12	$0.00
G9903	Pt scrn tbco id as non user	477	363	$0.00
1125F		190	168	$0.00
1111F		56	48	$0.00
3044F		364	284	$0.00
1126F		210	169	$0.00
1101F		136	110	$0.00
3075F		116	110	$0.00
1160F		852	761	$0.00
3078F		729	660	$0.00
G0179	Md recertification hha pt	81	51	$0.00
3288F		12	12	$0.00
1090F		91	83	$0.00
90662		23	19	$0.00

Medicaid Provider Spending