LIFELONG MEDICAL CARE

$21.94M

Total Medicaid Paid

173,425

Total Claims

117,896

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	58,036	46,753	$13.12M
00003		18,499	15,591	$4.96M
T2033	Res, nos waiver per diem	7,984	348	$1.78M
G0467	Fqhc visit, estab pt	9,794	7,735	$1.45M
99214		33,532	20,170	$255K
G0470	Fqhc visit, mh estab pt	1,130	554	$164K
99213		24,497	14,169	$74K
90834		1,669	884	$65K
90832		2,447	920	$38K
99203		314	198	$10K
99212		660	481	$7K
99202		71	62	$7K
99205	Prolong outpt/office vis	459	267	$5K
99211		182	111	$3K
99308		2,921	2,690	$2K
99215	Prolong outpt/office vis	409	237	$1K
90471		2,121	1,518	$1K
99204		67	51	$968.58
90686		479	396	$738.61
99349		143	94	$397.32
S9445	Pt education noc individ	31	31	$394.32
T1014	Telehealth transmit, per min	209	183	$358.08
90792		16	12	$216.83
99348		235	152	$188.65
86701		39	38	$181.10
97810		52	29	$149.10
97811		52	29	$149.10
90715		43	26	$137.04
92552		23	13	$111.96
85018		205	134	$99.19
82948		822	664	$91.60
90688		112	76	$54.00
81002		68	35	$40.79
90656		14	14	$24.90
81025		28	14	$17.64
99173		59	38	$7.96
36415		95	94	$0.00
G9008	Mccd,phys coor-care ovrsght	2,951	1,282	$0.00
90651		12	12	$0.00
83036		475	358	$0.00
G9012	Other specified case mgmt	1,692	738	$0.00
99318		53	53	$0.00
G0008	Admin influenza virus vac	39	39	$0.00
99307		441	382	$0.00
90460		35	34	$0.00
99395		23	12	$0.00
96160		167	155	$0.00
90687		20	20	$0.00

Medicaid Provider Spending