COUNTY OF MIDLAND

$644K

Total Medicaid Paid

26,094

Total Claims

25,067

Beneficiaries

57

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99402		4,424	3,827	$366K
90471		4,066	4,018	$40K
90472		2,217	2,205	$40K
V5008	Hearing screening	2,660	2,611	$24K
99211		1,647	1,611	$19K
H2000	Comp multidisipln evaluation	162	162	$17K
0011A		571	571	$16K
99172		1,723	1,715	$16K
0012A		511	509	$15K
J1050	Medroxyprogesterone acetate	1,311	1,301	$14K
H0045	Respite not-in-home per diem	220	55	$14K
90632		225	219	$10K
90686		907	904	$6K
90480		140	139	$4K
0064A		136	136	$4K
0001A		123	123	$4K
91320		42	42	$4K
90651		246	246	$3K
0071A		102	102	$3K
S4993	Contraceptive pills for bc	231	209	$3K
0002A		97	97	$3K
83655		271	271	$2K
99395		29	27	$2K
0072A		76	76	$2K
91322		19	19	$2K
90715		297	297	$2K
0031A		37	37	$1K
H1000	Prenatal care atrisk assessm	14	14	$1K
S0215	Nonemerg transp mileage	38	12	$1K
99212		38	38	$1K
90691		12	12	$960.00
0004A		29	29	$840.00
0134A		36	36	$694.58
90677		37	37	$550.00
85018		273	273	$472.43
0111A		14	13	$396.63
0074A		12	12	$360.00
90734		164	164	$330.00
90656		17	17	$319.08
99188		24	24	$179.04
90619		52	52	$140.00
91307		232	227	$0.00
91301		1,048	1,047	$0.00
87801		457	445	$0.00
91303		37	37	$0.00
90647		12	12	$0.00
91306		132	132	$0.00
90696		12	12	$0.00
90633		132	130	$0.00
91300		346	339	$0.00
90670		214	211	$0.00
91308		42	36	$0.00
90710		98	98	$0.00
A4267	Male condom	17	17	$0.00
91313		36	36	$0.00
90685		15	14	$0.00
91311		14	12	$0.00

Medicaid Provider Spending