CLAIBORNE HEALTH & WELLNESS INC.

$503K

Total Medicaid Paid

45,524

Total Claims

34,228

Beneficiaries

52

Codes Billed

2020-12

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		5,956	4,695	$197K
99214		5,483	4,192	$188K
87426		1,369	1,145	$40K
87804		2,716	1,190	$22K
96372		986	763	$9K
87811		196	182	$7K
87428		150	109	$7K
90460		374	179	$6K
M0243	Casirivi and imdevi inj	32	14	$6K
87880		458	395	$4K
96160		419	336	$3K
36415		1,791	1,449	$2K
99203		43	38	$2K
99406		257	161	$2K
99394		16	13	$875.37
99392		12	12	$797.92
90471		93	77	$776.37
G3002	Chronic pain mgmt 30 mins	70	41	$646.45
G2211	Complex e/m visit add on	437	271	$597.49
90688		64	55	$528.65
90686		84	69	$497.20
85018		269	221	$454.00
81003		271	210	$338.98
95115		70	24	$310.52
3078F		4,021	3,161	$308.94
96127		104	81	$281.68
3077F		1,310	969	$281.18
3079F		1,587	1,261	$261.18
3074F		3,745	2,952	$241.31
92552		12	12	$187.06
1125F		3,730	2,796	$180.00
1126F		2,811	2,180	$170.00
3075F		871	724	$150.00
96110		15	15	$134.37
3080F		548	404	$130.00
J3420	Vitamin b12 injection	96	77	$92.15
94760		240	186	$78.20
J1100	Dexamethasone sodium phos	145	121	$62.99
36416		64	53	$56.95
90658		18	13	$54.72
G0442	Annual alcohol screen 15 min	37	24	$26.96
J7040	Normal saline solution infus	23	14	$18.16
81001		17	14	$14.03
1033F		2,880	2,195	$0.00
1032F		1,222	823	$0.00
1159F		17	13	$0.00
1160F		18	14	$0.00
3049F		276	214	$0.00
90694		18	12	$0.00
G0008	Admin influenza virus vac	24	18	$0.00
3008F		18	14	$0.00
1170F		41	27	$0.00

Medicaid Provider Spending