CANOVA INTERNAL MEDICINE CLINIC,PA.

$256K

Total Medicaid Paid

16,537

Total Claims

10,503

Beneficiaries

43

Codes Billed

2018-01

First Month

2022-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99444		3,333	846	$188K
99214		1,360	1,265	$18K
99423		580	152	$17K
99213		1,092	980	$14K
99497		287	280	$7K
95923		256	236	$4K
99308		2,265	393	$3K
99490	Ccm add 20min	504	504	$2K
99215	Prolong outpt/office vis	54	41	$979.08
99232		166	61	$573.20
99212		109	96	$288.16
99421		45	12	$120.13
96372		13	12	$57.76
G0245	Initial foot exam pt lops	19	12	$56.70
99211		46	41	$35.37
0011A		14	14	$16.94
93000		38	37	$16.49
G8753	Sys bp > or = 140	244	225	$0.00
G0444	Depression screen annual	237	223	$0.00
G8752	Sys bp less 140	500	436	$0.00
G8483	Flu imm no admin doc rea	12	12	$0.00
76706		57	52	$0.00
G8482	Flu immunize order/admin	42	42	$0.00
G8539	Doc funct and care plan	42	27	$0.00
90756		54	52	$0.00
G9899	Scrn mam perf rslts doc	13	12	$0.00
87804		13	12	$0.00
1126F		1,121	930	$0.00
G0008	Admin influenza virus vac	175	168	$0.00
82962		1,344	1,105	$0.00
G0439	Ppps, subseq visit	359	354	$0.00
G8754	Dias bp less 90	819	706	$0.00
G9903	Pt scrn tbco id as non user	128	125	$0.00
1036F		210	194	$0.00
G0447	Behavior counsel obesity 15m	273	218	$0.00
1101F		20	20	$0.00
1170F		326	263	$0.00
4010F		49	36	$0.00
G8510	Scr dep neg, no plan reqd	85	85	$0.00
G9664	Taking statin or rec'd order	90	85	$0.00
99406		22	22	$0.00
90674		80	76	$0.00
90686		41	41	$0.00

Medicaid Provider Spending