PRISMA HEALTH UNIVERSITY MEDICAL GROUP

$4.70M

Total Medicaid Paid

117,415

Total Claims

108,215

Beneficiaries

56

Codes Billed

2018-10

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		42,511	39,829	$2.10M
99214		33,565	32,094	$2.03M
99223	Prolong inpt eval add15 m	566	553	$69K
90834		926	553	$64K
87428		1,166	1,155	$58K
87804		4,236	2,098	$50K
J1050	Medroxyprogesterone acetate	534	531	$45K
87880		3,928	3,896	$44K
99215	Prolong outpt/office vis	524	506	$40K
81002		8,397	7,033	$26K
36415		10,034	9,384	$24K
99203		238	237	$16K
90460		623	615	$13K
99212		450	443	$12K
96372		1,016	999	$12K
81025		1,996	1,953	$12K
99232		300	136	$11K
99205	Prolong outpt/office vis	69	66	$8K
76817		68	68	$6K
90686		487	486	$6K
99238		115	115	$5K
99202		104	100	$4K
59430		24	24	$4K
99460		108	108	$4K
H0002	Alcohol and/or drug screenin	163	161	$4K
99441		354	346	$4K
76815		45	42	$4K
99442		147	139	$3K
90471		476	470	$3K
92567		144	143	$2K
99239		41	41	$2K
99443		102	98	$2K
99078		74	55	$2K
99222		28	27	$2K
76805		13	12	$2K
99220		13	13	$2K
95886		17	17	$1K
99211		56	55	$1K
99233	Prolong inpt eval add15 m	36	25	$1K
99394		14	14	$1K
81003		508	500	$861.25
90832		17	14	$682.61
59025		14	12	$590.22
90715		13	13	$518.12
90461		27	27	$498.29
99406		39	38	$429.83
85018		191	189	$393.56
87210		90	64	$324.93
73120		24	13	$269.25
J2930	Methylprednisolone injection	13	12	$87.43
90656		28	28	$41.84
3074F		1,387	1,349	$8.06
3078F		1,139	1,109	$6.66
3079F		120	113	$0.37
G2211	Complex e/m visit add on	25	25	$0.00
99459		72	69	$0.00

Medicaid Provider Spending