WEST COUNTY HEALTH CENTERS, INC.

$18.55M

Total Medicaid Paid

231,566

Total Claims

151,202

Beneficiaries

37

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	86,611	60,678	$15.02M
00003		9,697	6,857	$2.21M
99213		55,122	38,425	$387K
G9012	Other specified case mgmt	1,544	1,042	$359K
90834		18,011	6,389	$267K
90832		8,251	2,955	$92K
90837		1,716	597	$42K
99214		9,571	6,854	$31K
99212		16,838	9,044	$29K
99203		91	90	$26K
97811		1,678	883	$23K
97810		1,709	903	$12K
A4267	Male condom	1,713	1,660	$12K
S5199	Personal care item nos each	1,713	1,660	$12K
99403		260	224	$11K
90791		738	421	$9K
G0442	Annual alcohol screen 15 min	1,305	995	$8K
H0049	Alcohol/drug screening	113	113	$3K
99000		743	716	$3K
J3490	Drugs unclassified injection	114	109	$2K
81025		453	437	$1K
99402		32	26	$1K
S9445	Pt education noc individ	44	44	$553.32
99348		15	13	$514.50
G9920	Scrning perf and negative	50	40	$290.00
99283		2,062	1,448	$274.17
G9919	Scrn nd pos nd prov of rec	22	16	$174.00
G0071	Comm svcs by rhc/fqhc 5 min	38	25	$147.92
99215	Prolong outpt/office vis	376	200	$114.40
90658		14	13	$54.40
92552		71	51	$33.66
90715		14	13	$9.00
G0470	Fqhc visit, mh estab pt	177	112	$0.00
G0511	Ccm/bhi by rhc/fqhc 20min mo	41	41	$0.00
99173		13	13	$0.00
G2025	Dis site tele svcs rhc/fqhc	7,562	5,607	$0.00
G0467	Fqhc visit, estab pt	3,044	2,488	$0.00

Medicaid Provider Spending