INDIAN RIVER HEALTH SERVICES INC

$1.62M

Total Medicaid Paid

56,207

Total Claims

38,545

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
H1000	Prenatal care atrisk assessm	21,758	15,682	$833K
H1001	Antepartum management	1,745	1,396	$126K
76816		3,979	2,831	$111K
99223	Prolong inpt eval add15 m	2,008	1,617	$84K
99214		4,614	3,764	$81K
99232		5,142	2,021	$78K
59025		3,993	2,653	$71K
99255		395	318	$30K
99233	Prolong inpt eval add15 m	1,207	483	$28K
99221		709	630	$25K
99204		584	479	$23K
99213		988	802	$18K
76805		896	540	$14K
76811		442	309	$12K
99215	Prolong outpt/office vis	285	223	$8K
99222		266	207	$8K
59410		15	13	$8K
76819		847	335	$8K
93306		307	238	$7K
76801		466	322	$7K
59430		224	183	$5K
99254		114	83	$5K
99309		692	217	$5K
99203		191	145	$4K
76813		241	167	$4K
99212		175	132	$4K
99217		230	172	$3K
88305		839	419	$3K
99220		121	104	$2K
99308		345	138	$2K
99239		89	78	$2K
81025		839	698	$2K
59514		13	12	$1K
0002A		41	31	$600.00
99219		59	43	$582.84
70450		76	60	$458.09
94664		45	40	$453.69
71045		467	338	$446.43
88307		13	12	$299.94
93010		185	144	$264.45
76815		22	12	$237.85
76817		21	16	$237.02
99231		17	13	$197.12
74176		17	13	$180.05
93356		52	38	$158.92
81003		203	184	$79.47
Q0091	Obtaining screen pap smear	19	13	$4.21
G2211	Complex e/m visit add on	24	24	$0.00
3078F		56	38	$0.00
0503F		131	115	$0.00

Medicaid Provider Spending