PALMDALE REGIONAL WOMEN'S CARE, INC.

$829K

Total Medicaid Paid

31,107

Total Claims

29,252

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		7,757	6,516	$504K
99203		829	810	$129K
99214		2,780	2,678	$103K
99212		797	733	$23K
A4267	Male condom	1,129	1,111	$13K
J3490	Drugs unclassified injection	149	139	$12K
3074F		1,758	1,716	$6K
3008F		3,181	3,063	$5K
99204		194	192	$5K
3078F		1,469	1,433	$5K
81025		1,711	1,680	$5K
92552		225	223	$4K
99000		2,018	1,998	$4K
3079F		711	700	$2K
93000		121	119	$2K
3075F		414	404	$2K
99383		12	12	$2K
96372		119	112	$1K
S9445	Pt education noc individ	91	91	$1K
81002		1,707	1,660	$1K
3077F		398	386	$280.00
99205	Prolong outpt/office vis	156	156	$170.00
90658		30	30	$140.50
90686		14	14	$126.00
99396		34	34	$105.00
92081		147	147	$59.32
3080F		410	392	$45.00
99386		15	15	$20.00
36415		524	520	$16.00
81000		109	108	$4.38
G0444	Depression screen annual	110	110	$0.00
99215	Prolong outpt/office vis	12	12	$0.00
1160F		423	410	$0.00
1159F		271	261	$0.00
G0270	Mnt subs tx for change dx	236	227	$0.00
87270		26	26	$0.00
G8431	Pos clin depres scrn f/u doc	15	15	$0.00
G8510	Scr dep neg, no plan reqd	156	156	$0.00
83036		274	274	$0.00
1126F		46	46	$0.00
1170F		257	255	$0.00
G0447	Behavior counsel obesity 15m	182	178	$0.00
99172		43	43	$0.00
99385		13	13	$0.00
1125F		21	21	$0.00
G0008	Admin influenza virus vac	13	13	$0.00

Medicaid Provider Spending