PHOENIX INTEGRATED HEALTH

$3.51M

Total Medicaid Paid

90,888

Total Claims

43,977

Beneficiaries

60

Codes Billed

2019-01

First Month

2023-03

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
H0015	Alcohol and/or drug services	7,328	1,736	$1.03M
99214		8,045	3,764	$890K
90837		4,231	2,225	$411K
90833		7,595	3,687	$402K
H0048	Spec coll non-blood:a/d test	7,452	3,468	$104K
80305		8,279	4,047	$56K
90834		677	387	$46K
H2019	Ther behav svc, per 15 min	427	76	$38K
H0006	Alcohol and/or drug services	661	232	$33K
99213		407	323	$31K
T1003	Lpn/lvn services up to 15min	1,287	604	$30K
80346		1,614	858	$24K
90853		876	401	$23K
83992		1,931	991	$20K
80361		1,381	701	$17K
80364		1,385	701	$17K
90791		157	154	$17K
90832		289	189	$15K
80354		1,939	992	$14K
80349		1,935	992	$14K
80353		1,935	991	$14K
80348		1,933	992	$14K
80355		1,936	992	$14K
80345		1,933	992	$14K
80356		1,932	992	$14K
80358		1,935	992	$14K
80359		1,934	992	$14K
80365		1,933	992	$14K
80373		1,938	992	$14K
80372		1,934	992	$14K
80366		1,933	992	$14K
80368		1,930	992	$14K
99204		70	68	$12K
80320		1,382	701	$12K
99211		560	346	$12K
80324		1,611	858	$11K
80360		1,383	702	$10K
90792		54	50	$7K
80352		798	477	$7K
80347		285	188	$5K
80357		510	298	$4K
H0005	Alcohol and/or drug services	80	38	$3K
90836		48	29	$3K
82075		157	105	$3K
80369		512	299	$3K
80326		285	188	$2K
80371		283	187	$2K
99205	Prolong outpt/office vis	16	14	$2K
80370		242	172	$2K
90838		14	12	$1K
99203		12	12	$1K
82570		438	222	$797.02
99212		19	14	$636.61
90785		54	46	$584.63
83986		443	223	$560.04
80362		448	226	$439.53
H2017	Psysoc rehab svc, per 15 min	15	14	$293.02
80336		38	31	$223.88
36415		14	14	$21.61
G0396	Alcohol/subs interv 15-30mn	15	12	$0.00

Medicaid Provider Spending