NORTH EAST FAMILY CLINIC PA

$1.31M

Total Medicaid Paid

84,117

Total Claims

71,294

Beneficiaries

50

Codes Billed

2018-10

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99499		4,744	4,467	$326K
99213		8,472	7,417	$275K
99214		5,746	5,030	$257K
87428		2,384	2,204	$130K
99050		4,028	3,718	$68K
99393		767	763	$57K
99394		642	608	$46K
87880		2,387	2,237	$31K
90460		2,766	1,235	$31K
99392		359	356	$26K
99349		400	336	$14K
99348		457	380	$14K
99212		297	278	$6K
87804		410	194	$5K
99203		92	87	$4K
99204		53	49	$4K
96110		501	473	$4K
90461		713	580	$3K
Q3014	Telehealth facility fee	131	123	$2K
G0402	Initial preventive exam	93	92	$2K
87426		46	46	$1K
87502		14	14	$1K
96160		500	494	$1K
99345	Prolong home eval add 15m	16	15	$858.28
93005		147	136	$628.54
96372		42	39	$473.52
99307		57	25	$377.70
99490	Ccm add 20min	12	12	$101.92
G8427	Docrev cur meds by elig clin	11,377	9,209	$4.27
3078F		7,369	6,395	$0.01
1159F		9,623	7,755	$0.01
1160F		9,611	7,745	$0.01
90670		66	66	$0.01
3074F		7,420	6,434	$0.01
1126F		42	41	$0.01
4019F		167	160	$0.00
99072		400	361	$0.00
G8417	Calc bmi abv up param f/u	64	64	$0.00
90700		38	38	$0.00
90710		14	14	$0.00
G8420	Calc bmi norm parameters	418	407	$0.00
3079F		122	112	$0.00
3008F		563	549	$0.00
90686		271	271	$0.00
G9716	Bmi doc onl fup not cmpltd	64	64	$0.00
1111F		28	25	$0.00
3044F		76	76	$0.00
3048F		13	13	$0.00
90651		29	29	$0.00
3075F		66	58	$0.00

Medicaid Provider Spending