DECOACH TEAM LLC

$48.21M

Total Medicaid Paid

540,005

Total Claims

255,179

Beneficiaries

41

Codes Billed

2018-07

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
H0015	Alcohol and/or drug services	90,382	21,918	$15.22M
T1502	Medication admin visit	23,074	11,815	$4.39M
H2036	A/d tx program, per diem	15,008	1,466	$4.33M
99214		30,805	20,255	$3.42M
T1002	Rn services up to 15 minutes	52,367	23,435	$2.87M
90837		25,964	14,016	$2.51M
S5000	Prescription drug, generic	17,737	7,969	$2.50M
S5001	Prescription drug,brand name	9,772	3,256	$2.42M
H0006	Alcohol and/or drug services	44,856	18,328	$2.34M
H0011	Alcohol and/or drug services	3,927	899	$1.57M
H0005	Alcohol and/or drug services	24,098	8,388	$1.29M
99213		10,299	7,216	$771K
82075		37,021	24,907	$758K
T1003	Lpn/lvn services up to 15min	15,125	9,225	$732K
H0048	Spec coll non-blood:a/d test	46,912	30,509	$655K
90833		11,669	8,314	$619K
J0574	Bupren/nal 6.1 to 10mg bupre	16,119	8,580	$311K
H0038	Self-help/peer svc per 15min	13,920	3,290	$260K
90832		3,305	2,019	$166K
80305		25,487	15,367	$162K
99215	Prolong outpt/office vis	1,094	737	$154K
J0572	Bupren/nal up to 3mg bupreno	7,361	3,705	$138K
90834		1,888	1,322	$125K
99205	Prolong outpt/office vis	554	506	$119K
90836		1,776	1,237	$118K
99204		542	504	$94K
90791		584	547	$61K
90785		2,922	1,761	$25K
H0036	Comm psy face-face per 15min	667	184	$21K
H0020	Alcohol and/or drug services	385	68	$16K
81025		2,536	1,876	$15K
99203		88	84	$10K
90853		203	114	$5K
99406		510	427	$3K
J3490	Drugs unclassified injection	41	34	$3K
36415		715	653	$2K
80307		189	155	$2K
86580		58	55	$326.04
99211		16	14	$312.34
H2019	Ther behav svc, per 15 min	15	12	$292.11
J2310	Inj naloxone hydrochloride	14	12	$19.08

Medicaid Provider Spending