FRIENDSHIP MEDICAL CLINIC, LLC

$1.62M

Total Medicaid Paid

86,339

Total Claims

75,326

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		14,214	12,408	$661K
87502		4,168	3,535	$188K
87426		5,971	5,308	$141K
99213		2,727	2,444	$91K
99203		1,430	1,331	$67K
87631		1,049	951	$64K
85025		13,283	11,696	$56K
G2023	Specimen collect covid-19	3,655	3,258	$49K
87880		5,405	4,896	$43K
87804		4,694	2,854	$43K
87651		1,754	1,487	$38K
96372		4,732	4,171	$37K
99204		506	470	$36K
99051		1,786	1,640	$22K
87811		642	605	$20K
87486		1,152	1,037	$16K
87581		1,152	1,037	$16K
86328		308	208	$9K
87798		1,129	1,021	$8K
36415		5,164	4,659	$6K
87635		144	139	$4K
J0696	Ceftriaxone sodium injection	2,597	2,339	$2K
87633		37	34	$1K
J0702	Betamethasone acet&sod phosp	297	280	$928.81
81003		626	596	$721.73
87807		70	68	$634.55
J1100	Dexamethasone sodium phos	2,770	2,492	$400.16
90471		37	34	$339.28
J1030	Methylprednisolone 40 mg inj	169	143	$259.18
J3301	Triamcinolone acet inj nos	142	117	$128.82
90686		39	36	$98.06
82150		33	32	$70.51
82977		33	32	$44.05
J1885	Ketorolac tromethamine inj	154	120	$35.82
84550		33	32	$34.76
84460		33	32	$24.33
84450		33	32	$23.77
84075		33	32	$23.77
82247		33	32	$23.05
82040		33	32	$22.75
82947		46	45	$21.24
84155		33	32	$16.83
36416		3,831	3,430	$14.00
82310		33	32	$13.92
82565		33	32	$13.83
84520		33	32	$10.68
J0945	Brompheniramine maleate inj	46	36	$0.00
80051		17	17	$0.00

Medicaid Provider Spending