HAZEL PARK PRIMARY CARE LLC

$6.46M

Total Medicaid Paid

67,229

Total Claims

54,220

Beneficiaries

49

Codes Billed

2020-04

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
Q9992	Buprenorphine xr over 100 mg	1,072	1,035	$1.85M
G0483	Drug test def 22+ classes	5,855	4,445	$881K
99213		14,328	11,271	$869K
99214		10,146	8,205	$838K
J2315	Naltrexone, depot form	581	557	$766K
Q9991	Buprenorph xr 100 mg or less	260	246	$464K
80307		8,863	6,941	$359K
99204		1,523	1,409	$154K
80305		14,440	10,852	$133K
90832		902	838	$43K
99222		556	523	$34K
96372		3,524	3,079	$16K
99203		208	205	$15K
G0482	Drug test def 15-21 classes	134	121	$8K
36415		1,592	1,486	$6K
99232		131	86	$4K
87804		170	169	$4K
87426		90	90	$2K
99408		94	93	$2K
90792		19	19	$2K
99392		14	14	$1K
99391		14	12	$1K
U0002	Covid-19 lab test non-cdc	32	32	$1K
99000		250	235	$1K
87880		93	90	$921.30
96110		97	97	$895.70
81002		314	303	$701.78
99218		12	12	$700.72
87635		25	25	$595.98
99212		12	12	$474.52
90460		29	28	$419.38
87811		12	12	$310.16
99407		18	17	$244.58
90471		12	12	$230.30
96127		99	97	$217.10
99406		46	42	$189.86
J1885	Ketorolac tromethamine inj	35	31	$62.57
J2930	Methylprednisolone injection	13	13	$48.60
J3420	Vitamin b12 injection	29	24	$33.24
97802		273	249	$20.00
3077F		14	12	$0.00
99051		331	299	$0.00
3078F		229	215	$0.00
3008F		366	338	$0.00
3074F		253	234	$0.00
99224		50	28	$0.00
3079F		34	33	$0.00
3075F		18	17	$0.00
1000F		17	17	$0.00

Medicaid Provider Spending