FAMILY HEALTH CENTERS OF BALTIMORE

$4.13M

Total Medicaid Paid

42,295

Total Claims

31,238

Beneficiaries

50

Codes Billed

2018-01

First Month

2023-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		14,103	11,695	$1.69M
T1015	Clinic service	5,721	3,402	$590K
H0005	Alcohol and/or drug services	2,994	529	$402K
99214		3,447	2,847	$400K
H0015	Alcohol and/or drug services	1,785	324	$274K
H0004	Alcohol and/or drug services	1,358	451	$216K
99212		1,008	912	$117K
99392		774	729	$112K
99393		682	667	$103K
99394		565	552	$86K
99391		500	440	$65K
99215	Prolong outpt/office vis	161	158	$24K
0012A		338	308	$10K
0011A		389	335	$8K
99395		55	55	$8K
99203		30	30	$5K
99396		25	25	$4K
0064A		80	78	$3K
90670		704	665	$2K
90723		430	407	$2K
91301		409	332	$2K
90647		160	153	$2K
G2025	Dis site tele svcs rhc/fqhc	461	405	$2K
90686		225	210	$1K
G0467	Fqhc visit, estab pt	1,511	1,433	$1K
90633		75	71	$582.00
90734		265	261	$535.44
90648		527	505	$465.60
0072A		13	12	$440.00
0071A		14	14	$400.00
90710		79	77	$372.48
91306		42	39	$325.17
0031A		15	14	$245.17
90700		37	33	$186.24
90707		16	14	$93.12
90681		16	16	$93.12
90696		44	44	$93.12
90651		14	12	$69.84
90688		27	26	$69.84
3008F		42	40	$30.00
81002		292	243	$2.17
90649		217	212	$0.00
90715		99	97	$0.00
90460		15	12	$0.00
81025		18	15	$0.00
G0071	Comm svcs by rhc/fqhc 5 min	32	30	$0.00
99000		2,248	2,088	$0.00
82962		190	180	$0.00
91305		27	26	$0.00
91307		16	15	$0.00

Medicaid Provider Spending