GONZALES MEDICAL CLINIC P C

$1.49M

Total Medicaid Paid

38,261

Total Claims

32,922

Beneficiaries

57

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99215	Prolong outpt/office vis	10,648	8,700	$575K
99214		11,667	9,885	$553K
93923		1,595	1,494	$123K
99213		2,151	1,905	$74K
99497		1,439	1,296	$54K
99205	Prolong outpt/office vis	211	181	$22K
99396		220	210	$21K
93000		1,880	1,749	$17K
0064A		251	236	$10K
92100		166	152	$8K
93306		113	95	$7K
93224		111	95	$4K
96372		555	404	$4K
99204		31	28	$3K
0011A		142	142	$3K
0012A		121	121	$2K
90471		105	102	$2K
90756		150	128	$2K
99395		14	14	$1K
0134A		36	36	$1K
20610		29	27	$1K
90688		87	79	$725.08
0013A		26	26	$563.22
93015		17	12	$456.16
G0506	Comp asses care plan ccm svc	47	47	$446.59
J3301	Triamcinolone acet inj nos	161	136	$408.44
99212		13	12	$403.67
90674		49	41	$370.20
99211		35	34	$358.52
90661		21	21	$200.84
99490	Ccm add 20min	29	28	$189.35
G0439	Ppps, subseq visit	119	78	$50.09
J3420	Vitamin b12 injection	28	25	$27.50
G0444	Depression screen annual	102	80	$19.98
G0008	Admin influenza virus vac	103	89	$7.65
G0442	Annual alcohol screen 15 min	105	72	$3.66
96127		50	33	$1.03
1036F		724	659	$0.00
1111F		169	134	$0.00
3044F		327	292	$0.00
3008F		844	771	$0.00
3074F		438	396	$0.00
4450F		28	26	$0.00
1125F		58	51	$0.00
1126F		23	21	$0.00
3079F		179	171	$0.00
3075F		171	153	$0.00
99496		13	12	$0.00
1170F		12	12	$0.00
91301		117	112	$0.00
3080F		59	57	$0.00
1159F		925	841	$0.00
1160F		705	651	$0.00
3078F		652	576	$0.00
1494F		37	32	$0.00
3077F		139	128	$0.00
3725F		14	14	$0.00

Medicaid Provider Spending