1306020698

$1.29M

Total Medicaid Paid

50,820

Total Claims

13,924

Beneficiaries

26

Codes Billed

2018-01

First Month

2020-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	10,397	1,691	$311K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2,831	1,694	$249K
80365		7,806	1,635	$106K
80348		7,800	1,633	$105K
80349		7,755	1,626	$99K
80346		7,171	1,474	$94K
99215	Prolong outpt/office vis	469	388	$62K
90792	Psychiatric diagnostic evaluation with medical services	619	558	$53K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	916	642	$53K
99233	Prolong inpt eval add15 m	828	328	$48K
99223	Prolong inpt eval add15 m	331	233	$23K
80347		1,327	269	$17K
99205	Prolong outpt/office vis	304	275	$15K
99232	Subsequent hospital care, per day, moderate complexity	355	187	$14K
99239	Hospital discharge day management, more than 30 minutes	212	189	$13K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	412	385	$8K
99231	Subsequent hospital care, per day, straightforward or low complexity	228	152	$5K
80361		246	85	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	90	67	$3K
80356		105	59	$2K
80352		103	59	$2K
80358		103	59	$2K
80326		103	59	$2K
80353		103	59	$2K
80320		103	59	$1K
80345		103	59	$1K

Medicaid Provider Spending