UNIVERSITY OF PENN-MEDICAL GROUP

$3.74M

Total Medicaid Paid

64,445

Total Claims

60,864

Beneficiaries

45

Codes Billed

2020-10

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99211		20,869	19,259	$1.38M
99213		18,804	17,717	$1.30M
99429		1,646	1,624	$204K
59430		1,388	1,373	$159K
59409		98	98	$144K
99215	Prolong outpt/office vis	892	734	$107K
J7307	Etonogestrel implant system	468	461	$71K
90471		3,772	3,693	$57K
99214		572	517	$47K
96372		1,747	1,732	$32K
T1001	Nursing assessment/evaluatn	302	292	$30K
57454		198	195	$29K
J7297	Liletta, 52 mg	54	54	$27K
99395		487	482	$20K
90715		3,081	3,037	$19K
0502F		3,843	3,535	$19K
H0004	Alcohol and/or drug services	889	863	$18K
G2012	Brief check in by md/qhp	728	720	$17K
90651		1,099	1,083	$11K
11982		68	67	$9K
90656		679	662	$6K
99212		148	146	$6K
0503F		388	382	$4K
51798		224	216	$3K
36415		270	254	$2K
99203		25	25	$2K
99396		43	43	$2K
S9470	Nutritional counseling, diet	142	142	$2K
59025		83	67	$2K
76801		17	16	$2K
99284		12	12	$1K
J1050	Medroxyprogesterone acetate	219	218	$1K
76817		12	12	$1K
0500F		163	162	$810.00
81002		222	218	$778.82
G2211	Complex e/m visit add on	72	52	$669.87
58301		13	13	$600.58
90686		215	215	$492.61
81025		104	100	$444.48
90658		34	34	$289.52
3008F		139	132	$0.00
3044F		104	97	$0.00
J7298	Mirena, 52 mg	29	28	$0.00
3078F		48	47	$0.00
90678		35	35	$0.00

Medicaid Provider Spending