DOCTORS CLINIC OF SPOKANE

$2.90M

Total Medicaid Paid

81,361

Total Claims

71,738

Beneficiaries

51

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		34,175	28,237	$1.41M
99214		19,223	17,071	$1.12M
99395		1,286	1,275	$122K
99396		1,197	1,188	$105K
G0439	Ppps, subseq visit	362	358	$34K
99202		747	735	$32K
96372		2,963	2,081	$24K
90674		568	551	$11K
83036		909	901	$7K
99204		68	68	$6K
90471		523	508	$5K
98926		238	174	$5K
99215	Prolong outpt/office vis	35	33	$3K
99212		199	174	$3K
99203		42	42	$3K
87804		140	70	$2K
99490	Ccm add 20min	937	929	$2K
99386		13	13	$2K
0012A		80	79	$1K
99211		131	131	$1K
J1885	Ketorolac tromethamine inj	417	369	$873.68
0011A		61	61	$830.78
J3301	Triamcinolone acet inj nos	101	98	$681.85
81003		332	307	$574.33
90756		13	13	$328.14
90658		13	13	$294.51
G2211	Complex e/m visit add on	27	26	$167.29
93000		12	12	$103.08
G0136	Adm of pa/n assess 5-15 m	605	603	$0.00
1101F		1,086	1,063	$0.00
G8510	Scr dep neg, no plan reqd	664	655	$0.00
96156		1,449	1,388	$0.00
1170F		1,727	1,703	$0.00
3079F		129	127	$0.00
1125F		807	795	$0.00
3080F		127	116	$0.00
3074F		221	211	$0.00
1126F		505	498	$0.00
4010F		129	128	$0.00
1111F		29	27	$0.00
3075F		57	57	$0.00
1157F		14	13	$0.00
96150		51	47	$0.00
1090F		1,087	1,064	$0.00
3078F		226	217	$0.00
G8431	Pos clin depres scrn f/u doc	703	693	$0.00
1159F		1,730	1,705	$0.00
1160F		1,708	1,683	$0.00
3755F		1,720	1,696	$0.00
1158F		1,568	1,544	$0.00
3077F		207	188	$0.00

Medicaid Provider Spending