MEDICAL HOME PRIMARY CARE CENTER

$215K

Total Medicaid Paid

31,884

Total Claims

28,816

Beneficiaries

37

Codes Billed

2018-01

First Month

2023-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		4,971	4,502	$152K
99214		1,042	954	$40K
99212		948	861	$19K
99309		405	289	$2K
G0179	Md recertification hha pt	139	131	$1K
99307		245	196	$872.22
99442		37	25	$395.48
99441		46	40	$313.60
G9903	Pt scrn tbco id as non user	2,027	1,815	$0.00
G9906	Pt recv tbco cess interv	317	288	$0.00
G8754	Dias bp less 90	1,509	1,380	$0.00
1036F		4,187	3,761	$0.00
G8756	No bp measure doc	90	77	$0.00
G8428	Cur meds not document	860	765	$0.00
G9664	Taking statin or rec'd order	1,002	913	$0.00
G9902	Pt scrn tbco and id as user	320	290	$0.00
3017F		1,491	1,364	$0.00
G9717	Doc pt dx bipol	474	410	$0.00
G8422	Pt inelig bmi calculation	263	246	$0.00
3074F		13	13	$0.00
3014F		178	166	$0.00
G8419	Calc bmi out nrm param nof/u	154	143	$0.00
G8432	Dep scr not doc, rng	366	329	$0.00
G8420	Calc bmi norm parameters	99	88	$0.00
99318		13	13	$0.00
4004F		675	611	$0.00
G9899	Scrn mam perf rslts doc	258	229	$0.00
G8417	Calc bmi abv up param f/u	3,518	3,196	$0.00
G8427	Docrev cur meds by elig clin	2,359	2,185	$0.00
G8482	Flu immunize order/admin	951	855	$0.00
G8752	Sys bp less 140	1,289	1,178	$0.00
G8484	Flu immunize no admin	737	669	$0.00
G8598	Asa/antiplat ther used	101	92	$0.00
3015F		391	364	$0.00
G8935	Rx ace or arb therapy	263	239	$0.00
G8483	Flu imm no admin doc rea	119	112	$0.00
3078F		27	27	$0.00

Medicaid Provider Spending