PHYSICIAN PARTNERS PC

$431K

Total Medicaid Paid

23,588

Total Claims

17,879

Beneficiaries

53

Codes Billed

2018-01

First Month

2020-02

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
S0280	Medical home, initial plan	2,280	1,194	$222K
99213		4,541	3,788	$100K
99214		2,716	2,280	$72K
99212		385	328	$5K
96372		607	414	$5K
3008F		2,545	2,133	$5K
99203		124	103	$4K
99393		96	86	$3K
99394		50	48	$2K
90471		388	302	$2K
99395		43	43	$2K
36415		2,015	1,662	$2K
90688		102	89	$1K
90658		148	127	$1K
90460		114	73	$1K
99396		29	26	$671.58
3074F		302	239	$475.00
G9004	Mccd, risk adj lo, initial	1,493	779	$404.15
81003		426	338	$355.97
83036		509	427	$337.02
3079F		197	157	$310.00
3078F		172	132	$210.00
3077F		77	57	$140.00
G0405	Ekg interpret & report preve	33	27	$108.91
92551		32	29	$105.67
99173		38	31	$100.35
J0696	Ceftriaxone sodium injection	107	85	$47.59
82962		40	29	$41.22
3075F		31	25	$40.00
3080F		17	12	$40.00
80061		147	114	$23.98
36416		25	17	$20.49
81002		25	22	$18.90
99000		1,472	1,178	$4.32
J1100	Dexamethasone sodium phos	31	27	$2.69
J2001	Lidocaine injection	27	25	$0.24
G9005	Mccd, risk adj, maintenance	758	342	$0.03
G9007	Mccd, sch team conf	23	12	$0.02
G9006	Mccd, home monitoring	127	79	$0.02
G9010	Mccd, risk adj, level 4	109	58	$0.02
80053		263	219	$0.00
84443		165	135	$0.00
4010F		103	81	$0.00
85027		31	28	$0.00
85025		164	124	$0.00
4274F		86	71	$0.00
G9011	Mccd, risk adj, level 5	132	84	$0.00
90734		17	16	$0.00
4013F		164	125	$0.00
2022F		13	13	$0.00
90715		15	14	$0.00
90649		21	20	$0.00
90461		13	12	$0.00

Medicaid Provider Spending