COUNTY OF SANTA CLARA

$21.24M

Total Medicaid Paid

1,823,610

Total Claims

1,583,997

Beneficiaries

322

Codes Billed

2018-01

First Month

2024-12

Last Month

Year	Claims	Total Paid
2018	193,933	$2.43M
2019	200,370	$2.39M
2020	159,179	$2.59M
2021	232,017	$3.24M
2022	258,206	$3.52M
2023	354,398	$3.68M
2024	425,507	$3.39M

Code	Description	Claims	Beneficiaries	Total Paid
99285		50,632	50,052	$2.26M
99232		137,324	67,059	$1.85M
99214		150,977	147,935	$1.65M
99213		136,575	133,192	$1.10M
99284		36,461	35,956	$1.03M
99291		17,775	8,188	$910K
74177		29,332	28,989	$804K
99233	Prolong inpt eval add15 m	48,676	23,419	$759K
93306		34,240	34,009	$600K
88305		61,867	35,500	$554K
71045		165,956	135,446	$546K
99239		28,350	27,959	$503K
70450		38,262	36,737	$491K
93010		105,381	90,148	$459K
99223	Prolong inpt eval add15 m	15,148	14,946	$363K
96110		22,346	21,976	$330K
99238		14,566	14,372	$323K
99231		24,733	11,616	$301K
90962		14,169	14,163	$287K
59409		894	885	$286K
99222		11,376	11,190	$271K
99460		8,296	8,282	$261K
67028		6,460	6,107	$243K
99215	Prolong outpt/office vis	10,486	10,278	$224K
99244		10,484	10,417	$186K
99469		1,061	298	$183K
99283		11,251	10,946	$180K
92012		20,410	19,745	$153K
66984		999	992	$150K
74176		5,708	5,654	$146K
71046		47,975	47,690	$143K
71275		4,761	4,716	$132K
99203		9,583	9,532	$131K
99243		9,982	9,929	$129K
11042		6,868	4,415	$120K
G6002	Stereoscopic x-ray guidance	9,692	1,420	$116K
77427		3,098	1,443	$103K
99480		870	243	$94K
99212		19,777	19,166	$93K
99204		4,256	4,229	$91K
70553		3,085	3,019	$80K
76705		11,744	11,617	$77K
77067		12,476	12,433	$76K
45380		1,883	1,875	$74K
71260		5,637	5,539	$69K
72125		4,432	4,337	$63K
91320		1,004	1,004	$63K
99242		7,366	7,317	$61K
43239		1,457	1,453	$59K
78815		1,510	1,506	$59K
88304		5,812	5,471	$58K
99254		2,222	2,161	$55K
99152		12,483	12,332	$54K
74018		14,371	12,090	$51K
92014		8,157	8,127	$46K
99417	Prolong home eval add 15m	586	552	$46K
88307		2,502	1,778	$46K
92134		13,680	13,525	$44K
99255		1,244	1,212	$44K
99462		2,418	2,338	$44K
45385		718	715	$43K
70551		1,961	1,924	$40K
31575		1,962	1,952	$38K
01967		575	575	$37K
78452		2,747	2,745	$36K
93016		5,792	5,789	$35K
99464		891	887	$34K
90961		1,591	1,591	$29K
99479		232	67	$28K
88342		3,622	2,744	$27K
91322		423	423	$27K
73630		10,972	10,005	$27K
92250		12,079	11,732	$25K
70496		1,095	1,074	$25K
99309		425	410	$25K
Z4300		318	318	$23K
93018		5,787	5,784	$22K
73610		7,700	7,164	$22K
99253		1,074	997	$22K
90686		6,402	6,400	$20K
76700		2,081	2,074	$19K
Z0102		100	28	$19K
76856		2,295	2,292	$19K
Z4304		332	332	$18K
90480		1,502	1,502	$18K
17110		949	947	$17K
Z4306		332	332	$17K
31231		1,913	1,891	$17K
11721		5,707	5,676	$16K
73030		5,902	5,496	$16K
93227		3,197	3,188	$16K
88173		2,251	1,876	$15K
70498		843	826	$15K
92133		3,733	3,723	$15K
88312		2,848	2,105	$14K
00170		600	571	$14K
G0500	Mod sedat endo service >5yrs	1,223	1,213	$14K
88175		3,284	3,284	$13K
99472		67	13	$13K
71250		1,293	1,275	$12K
76770		1,379	1,369	$12K
11043		276	172	$12K
92004		908	905	$12K
90935		830	514	$12K
76801		623	610	$12K
76830		1,512	1,511	$12K
77066	Tomosynthesis, mammo	1,195	1,190	$11K
93970		936	923	$11K
93458		136	136	$11K
73110		4,211	3,890	$11K
99252		774	760	$11K
99245		477	461	$10K
Z4303		332	332	$10K
72131		761	749	$10K
93280		1,218	1,206	$10K
95810		608	608	$10K
77263		478	468	$9K
43235		157	155	$9K
77300		486	471	$9K
92579		2,885	2,884	$9K
73562		4,974	4,373	$9K
92015		2,218	2,193	$9K
76641		1,226	1,095	$9K
92083		2,407	2,396	$8K
90960		374	374	$8K
73721		750	714	$8K
76942		569	486	$8K
72100		2,932	2,926	$8K
77334		358	324	$7K
90834		1,132	922	$7K
45378		130	130	$7K
11102		500	496	$7K
92557		1,703	1,696	$7K
64615		433	433	$7K
90792		209	201	$7K
97802		595	586	$7K
93971		1,366	1,346	$7K
76817		363	357	$6K
90837		943	711	$6K
73130		2,311	2,083	$6K
90832		922	768	$6K
77080		3,336	3,316	$6K
99606		338	334	$6K
90791		495	489	$6K
77014		544	156	$5K
Z4301		304	304	$5K
99221		398	360	$5K
73080		1,954	1,799	$5K
90662		1,484	1,484	$5K
Z4307		300	300	$5K
92587		5,865	5,853	$5K
99607		419	404	$5K
99355		55	55	$5K
99202		858	858	$4K
99354		55	55	$4K
92002		437	437	$4K
95811		105	105	$4K
77387		136	14	$4K
94726		2,059	2,058	$4K
11056		1,038	1,024	$4K
88108		771	695	$4K
11981		26	26	$4K
88341		1,604	471	$4K
20610		778	634	$4K
73502		1,219	1,162	$3K
88112		950	827	$3K
76536		817	815	$3K
72170		1,194	1,174	$3K
11055		665	651	$3K
93288		714	707	$3K
72128		197	195	$3K
99153	Mod sedat endo service >5yrs	1,968	1,950	$3K
93248		1,213	1,210	$3K
00142		74	55	$3K
93294		851	850	$3K
59025		424	405	$3K
94010		1,669	1,661	$3K
73560		1,481	1,272	$3K
11045		47	37	$3K
94729		2,053	2,052	$3K
93922		733	730	$3K
G2012	Brief check in by md/qhp	596	589	$3K
76506		112	83	$3K
Z4311		300	300	$2K
99211		1,068	879	$2K
52000		189	186	$2K
73590		836	752	$2K
76937		863	848	$2K
93320		66	62	$2K
92020		723	717	$2K
90471		5,994	5,966	$2K
97597		335	252	$2K
77065	Tomosynthesis, mammo	322	322	$2K
76519		391	390	$2K
93295		255	254	$2K
92582		806	804	$2K
69210		592	589	$2K
70486		141	140	$2K
96112		12	12	$2K
88172		556	363	$2K
72141		69	67	$2K
77295		53	50	$2K
73090		628	564	$2K
72148		136	135	$2K
11044		16	12	$2K
71010		320	223	$1K
70544		94	94	$1K
66982		12	12	$1K
93244		444	443	$1K
52353		13	12	$1K
11100		232	231	$1K
92060		185	183	$1K
94060		455	454	$1K
17000		220	219	$1K
54161		29	29	$1K
73100		463	439	$929.42
72040		370	369	$918.56
93308		88	86	$917.79
51741		211	208	$841.19
S0265	Genetic counsel 15 mins	132	129	$837.90
77049		54	54	$809.72
91200		302	302	$792.33
96113		12	12	$782.52
75574		63	63	$763.96
90966		124	124	$703.11
92136		133	123	$679.34
93303		12	12	$652.00
95816		98	93	$643.80
11900		178	177	$643.03
99407		94	94	$627.31
77290		61	54	$577.54
71020		82	57	$521.50
74183		38	38	$502.29
99236	Prolong inpt eval add15 m	20	17	$485.94
95819		52	50	$478.33
77063		123	123	$470.47
42820		13	13	$453.67
92567		2,010	2,008	$428.02
99292		14	14	$428.01
77333		93	82	$409.71
11730		16	15	$386.71
99443		16	16	$372.57
73221		63	60	$369.99
11750		34	27	$353.42
88142		107	107	$334.73
77001		67	66	$325.85
93350		27	27	$306.54
91035		13	13	$283.65
76514		128	128	$280.13
73140		262	254	$270.21
73564		93	86	$268.56
96156		12	12	$260.20
88313		26	14	$250.28
93325		95	80	$248.67
76881		30	28	$243.12
76870		13	13	$242.99
93296		266	266	$239.73
73552		95	86	$229.98
51705		32	29	$221.82
95806		238	238	$218.62
99442		45	44	$207.41
93289		49	49	$202.70
95812		13	13	$194.12
78306		25	25	$184.52
93225		182	181	$184.15
88302		43	24	$149.09
95782		37	37	$144.01
92555		601	601	$141.18
76815		14	13	$133.46
74178		15	15	$128.82
74000		25	24	$122.05
11720		43	43	$116.35
67228		26	25	$103.47
77062		52	52	$95.25
93246		12	12	$92.16
G0071	Comm svcs by rhc/fqhc 5 min	207	183	$84.42
92553		15	15	$77.87
72070		27	27	$72.88
99441		12	12	$64.78
77073		17	17	$50.26
73060		28	27	$50.01
92550		28	28	$45.94
96136		19	14	$41.88
82962		279	208	$36.72
G0008	Admin influenza virus vac	294	294	$34.84
88300		29	29	$32.24
88141		130	130	$27.38
17003		38	38	$23.28
G2211	Complex e/m visit add on	63	63	$22.94
92504		16	12	$19.43
73000		12	12	$13.57
93283		14	14	$13.47
20553		12	12	$4.75
3075F		6,084	5,971	$0.00
3074F		25,317	24,396	$0.00
3044F		4,168	4,008	$0.00
3079F		7,487	7,281	$0.00
1126F		1,827	1,775	$0.00
3080F		1,066	1,046	$0.00
G0467	Fqhc visit, estab pt	306	291	$0.00
3052F		29	29	$0.00
3048F		168	168	$0.00
1125F		742	721	$0.00
90677		66	66	$0.00
41899		99	99	$0.00
90656		43	43	$0.00
1111F		12	12	$0.00
3049F		14	14	$0.00
1123F		40	37	$0.00
3078F		37,244	35,555	$0.00
1159F		48,762	46,680	$0.00
3077F		7,602	7,202	$0.00
1160F		12,047	11,644	$0.00
90750		91	91	$0.00
3051F		72	67	$0.00
96130		40	38	$0.00
3046F		40	39	$0.00
0298T		12	12	$0.00
99392		12	12	$0.00
99173		38	38	$0.00
G1004	Cdsm ndsc	13	12	$0.00
90715		42	42	$0.00

Medicaid Provider Spending

Monthly Spending Trend

Yearly Breakdown

Billing Codes