FACULTY PHYSICIANS AND SURGEONS OF LLUSM

$3.99M

Total Medicaid Paid

52,328

Total Claims

35,478

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99233	Prolong inpt eval add15 m	14,218	5,606	$966K
99291		4,112	1,637	$645K
99223	Prolong inpt eval add15 m	3,707	3,540	$485K
99214		6,477	5,911	$413K
99232		6,422	2,772	$339K
99213		3,522	3,142	$181K
99215	Prolong outpt/office vis	1,466	1,276	$162K
99239		1,600	1,553	$118K
95810		738	731	$102K
90960		837	830	$96K
99222		525	484	$63K
43239		388	380	$51K
0012A		1,165	1,165	$43K
G0500	Mod sedat endo service >5yrs	1,456	1,419	$43K
0011A		1,231	1,231	$40K
45380		140	139	$30K
95811		212	207	$28K
0002A		499	499	$20K
77080		604	346	$19K
99212		598	540	$17K
99221		164	149	$14K
90935		272	170	$12K
U0002	Covid-19 lab test non-cdc	271	250	$11K
99220		103	96	$9K
0031A		218	218	$8K
45378		30	30	$7K
99204		55	55	$7K
99183		91	14	$7K
0001A		162	162	$6K
43264		26	24	$6K
95782		45	45	$6K
99231		120	60	$3K
99254		51	49	$3K
45385		12	12	$3K
99292		26	12	$2K
99153	Mod sedat endo service >5yrs	179	176	$2K
94060		108	108	$2K
0003A		40	40	$2K
99203		22	12	$2K
99356		21	12	$2K
43259		12	12	$1K
99201		44	36	$1K
99211		80	80	$1K
49083		18	14	$1K
0013A		24	24	$1K
99238		25	25	$990.11
99255		12	12	$766.62
94664		65	61	$747.78
94729		62	62	$599.26
99451		22	22	$481.40
74328		16	13	$462.70
94726		15	15	$158.65

Medicaid Provider Spending