KENOSHA COUNTY DIVISION OF HEALTH

$758K

Total Medicaid Paid

29,400

Total Claims

24,846

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1017	Targeted case management	3,095	2,754	$275K
T1016	Case management	2,173	1,681	$108K
H1010	Nonmed family planning ed	1,597	1,281	$76K
H1003	Prenatal at risk education	1,729	1,276	$56K
99212		2,884	2,473	$43K
H1004	Follow up home visit/prental	1,396	1,040	$41K
99211		2,973	2,734	$34K
S4993	Contraceptive pills for bc	782	517	$31K
99188		1,965	1,673	$24K
99000		2,886	2,464	$11K
H1000	Prenatal care atrisk assessm	267	227	$9K
99213		405	365	$7K
81025		924	798	$7K
A4268	Female condom	851	701	$5K
A4267	Male condom	971	806	$4K
90715		389	367	$2K
H1002	Carecoordination prenatal	57	52	$2K
87491		77	67	$2K
90651		332	321	$2K
87591		77	67	$2K
90633		358	318	$2K
T1013	Sign lang/oral interpreter	56	36	$2K
90670		380	340	$2K
90686		462	408	$2K
86580		291	251	$2K
90698		223	194	$1K
90734		240	226	$909.66
90710		197	176	$862.70
90688		45	44	$856.66
90619		64	63	$789.72
96372		297	257	$744.65
83655		62	62	$714.82
99202		25	25	$604.94
81002		231	206	$602.04
J1050	Medroxyprogesterone acetate	223	187	$381.83
86592		109	97	$335.46
90696		63	56	$253.19
90656		16	16	$240.00
90623		13	13	$195.00
90744		32	27	$164.96
36416		50	50	$132.62
90716		27	27	$123.58
90680		24	24	$108.96
90685		29	26	$95.99
90648		13	13	$61.48
90707		16	16	$60.34
90723		12	12	$54.48
85018		12	12	$31.56

Medicaid Provider Spending