MYCARE HEALTH CENTER

$3.98M

Total Medicaid Paid

83,060

Total Claims

69,367

Beneficiaries

69

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0467	Fqhc visit, estab pt	22,459	19,157	$1.56M
J2315	Naltrexone, depot form	1,284	1,044	$1.27M
G0470	Fqhc visit, mh estab pt	8,086	4,205	$703K
G0466	Fqhc visit new patient	2,486	2,427	$181K
99213		11,539	10,408	$61K
99214		7,383	6,803	$55K
D0150		458	458	$24K
90834		3,734	2,286	$23K
D0210		296	295	$17K
D1110		241	241	$14K
90837		2,372	1,619	$13K
D0140		163	160	$9K
99212		1,433	1,244	$5K
D2392		39	31	$5K
99203		550	520	$4K
96372		1,914	1,500	$4K
D2391		30	25	$3K
80305		2,645	2,112	$3K
90674		447	439	$2K
D0220		151	148	$2K
99204		274	270	$2K
96127		4,359	4,269	$2K
D0330		40	40	$2K
0064A		91	91	$2K
D4355		15	15	$2K
90832		850	549	$2K
D7140		21	12	$1K
83036		884	873	$1K
36415		1,673	1,518	$1K
81025		1,105	908	$1K
0011A		56	56	$1K
D0120		42	42	$1K
90471		545	521	$1K
99396		71	71	$1K
G0469	Fqhc visit, mh new pt	16	14	$839.50
D0274		40	40	$707.26
99393		27	27	$707.00
90661		20	20	$626.45
D1120		13	13	$545.46
90460		307	300	$537.88
99395		98	97	$532.78
81003		1,238	1,183	$510.64
0012A		15	15	$376.36
87426		106	103	$366.60
90686		44	41	$228.36
0134A		12	12	$228.28
99211		219	188	$194.91
99215	Prolong outpt/office vis	13	13	$162.84
99000		226	202	$129.37
99202		73	68	$126.00
90791		40	40	$102.42
82075		493	401	$99.00
81002		128	122	$95.04
D0603		170	170	$95.00
90715		14	14	$65.70
93000		13	13	$47.55
99406		13	12	$25.56
90472		12	12	$21.00
82962		12	12	$2.71
3085F		214	213	$0.00
2028F		27	27	$0.00
99394		12	12	$0.00
93010		12	12	$0.00
90853		28	12	$0.00
36416		113	103	$0.00
G8510	Scr dep neg, no plan reqd	1,504	1,454	$0.00
G2025	Dis site tele svcs rhc/fqhc	19	12	$0.00
3044F		18	18	$0.00
99385		15	15	$0.00

Medicaid Provider Spending