BELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION

$6.20M

Total Medicaid Paid

133,234

Total Claims

113,780

Beneficiaries

51

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	54,160	44,054	$5.63M
99213		28,108	24,328	$297K
99214		13,638	12,521	$71K
87880		6,699	6,118	$34K
90471		1,453	1,377	$28K
3351F		3,364	3,085	$21K
96372		1,213	1,054	$16K
90686		857	826	$16K
81002		686	646	$13K
90472		527	486	$9K
90837		2,219	1,205	$7K
87804		698	641	$7K
J1040	Methylprednisolone 80 mg inj	151	139	$6K
99393		324	308	$6K
3008F		1,882	1,725	$5K
96110		321	305	$4K
71046		279	233	$4K
99232		121	26	$3K
99392		183	178	$3K
90670		80	79	$2K
99212		230	210	$2K
93005		107	100	$2K
99391		89	79	$2K
99202		77	66	$2K
99173		71	68	$2K
99394		207	192	$2K
90648		46	46	$2K
92551		56	54	$1K
4000F		79	77	$985.55
99401		462	421	$980.84
99238		21	13	$650.28
3353F		12	12	$619.58
J0696	Ceftriaxone sodium injection	53	38	$609.28
90651		47	43	$579.27
90734		44	40	$532.56
J1885	Ketorolac tromethamine inj	14	14	$412.72
90633		15	14	$399.42
90715		51	48	$266.28
87428		4,298	3,906	$66.53
36415		1,329	1,240	$35.32
G0467	Fqhc visit, estab pt	7,552	6,420	$0.00
94640		13	12	$0.00
87426		469	453	$0.00
G0008	Admin influenza virus vac	180	179	$0.00
87807		259	234	$0.00
99406		38	35	$0.00
90656		28	28	$0.00
99215	Prolong outpt/office vis	266	253	$0.00
90662		50	50	$0.00
G2012	Brief check in by md/qhp	96	89	$0.00
99203		12	12	$0.00

Medicaid Provider Spending