FORSYTH MEMORIAL HOSPITAL INC

$2.46M

Total Medicaid Paid

145,268

Total Claims

137,012

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		16,601	14,722	$983K
99213		12,484	10,838	$565K
99199		96,853	95,424	$337K
99392		1,176	1,028	$111K
90460		1,589	1,330	$74K
99393		730	652	$74K
99391		655	540	$60K
87502		704	565	$45K
87635		817	626	$41K
99394		306	263	$33K
87804		1,807	898	$25K
D0145		637	563	$22K
G2023	Specimen collect covid-19	1,085	846	$21K
90471		967	935	$18K
96110		1,783	1,562	$16K
90472		374	365	$10K
D1206		636	562	$10K
87651		183	136	$5K
87880		286	272	$4K
87634		68	54	$2K
90686		764	719	$2K
90461		951	784	$2K
85025		154	128	$1K
90474		24	24	$470.35
90674		182	152	$458.34
90734		93	76	$414.70
99173		1,225	1,073	$138.34
90715		63	50	$93.87
92551		453	408	$44.90
92552		21	17	$16.47
99177		34	25	$7.98
90710		121	107	$0.00
G8427	Docrev cur meds by elig clin	331	318	$0.00
90648		129	88	$0.00
90670		391	321	$0.00
G8541	No doc cur funct assess	210	201	$0.00
G8509	Pos pain assess no f/u doc	26	26	$0.00
G8484	Flu immunize no admin	53	51	$0.00
G8417	Calc bmi abv up param f/u	15	14	$0.00
90696		14	13	$0.00
G8432	Dep scr not doc, rng	40	38	$0.00
90680		42	36	$0.00
G8419	Calc bmi out nrm param nof/u	40	38	$0.00
G8754	Dias bp less 90	25	24	$0.00
90698		37	26	$0.00
90744		18	12	$0.00
90723		45	38	$0.00
3017F		14	12	$0.00
90647		12	12	$0.00

Medicaid Provider Spending