ALLINA HEALTH SYSTEM

$1.79M

Total Medicaid Paid

54,690

Total Claims

49,441

Beneficiaries

72

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		14,762	12,824	$944K
99213		7,147	6,544	$332K
90834		2,513	1,424	$154K
77067		654	556	$51K
90837		413	248	$42K
36415		9,893	9,037	$26K
99215	Prolong outpt/office vis	264	251	$26K
90460		1,219	1,208	$24K
99392		343	339	$21K
U0003	Cov-19 amp prb hgh thruput	216	214	$16K
90471		1,608	1,574	$16K
90686		2,367	2,314	$15K
77063		422	360	$14K
80061		1,115	1,092	$13K
84443		689	665	$9K
99204		69	68	$8K
83036		1,018	997	$8K
X5622		967	944	$6K
U0005	Infec agen detec ampli probe	216	214	$5K
80053		552	544	$5K
92551		870	861	$5K
80048		663	648	$5K
99188		589	584	$4K
99393		102	101	$4K
0071A		85	79	$3K
S0302	Completed epsdt	2,020	1,993	$3K
0054A		62	62	$3K
99395		43	42	$3K
99394		47	45	$2K
99396		37	37	$2K
0004A		87	84	$2K
G0008	Admin influenza virus vac	440	400	$2K
0072A		38	37	$1K
85025		289	278	$1K
85027		353	343	$1K
88305		28	25	$1K
80050		27	27	$1K
99391		72	70	$1K
87491		67	65	$1K
90694		34	27	$868.91
99173		752	746	$852.53
85018		350	333	$647.44
90653		52	47	$569.12
0011A		38	38	$564.12
87591		53	52	$547.96
G0179	Md recertification hha pt	14	14	$528.91
82728		37	37	$494.11
Q0091	Obtaining screen pap smear	16	14	$450.38
77080		19	13	$445.96
0012A		24	24	$366.76
82306		56	56	$354.38
90480		15	15	$317.90
87389		12	12	$305.28
90656		26	26	$285.28
90670		99	98	$284.51
96127		114	112	$278.66
90472		37	37	$254.16
82607		15	14	$238.77
0031A		15	15	$224.32
86803		13	13	$185.32
96110		59	59	$177.45
36416		180	152	$158.94
99442		15	14	$54.57
81001		51	50	$52.68
G0439	Ppps, subseq visit	36	36	$0.00
90651		32	32	$0.00
90723		38	38	$0.00
90734		13	12	$0.00
81003		16	16	$0.00
87880		51	50	$0.00
99177		26	25	$0.00
87804		16	16	$0.00

Medicaid Provider Spending