PRIMARY CARE CLINIC OF JACKSON

$758K

Total Medicaid Paid

40,029

Total Claims

31,813

Beneficiaries

51

Codes Billed

2018-01

First Month

2023-03

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		5,290	4,048	$245K
99213		7,126	5,795	$245K
99204		662	468	$45K
99203		638	552	$35K
96372		2,125	1,567	$25K
99212		1,065	943	$24K
87804		1,807	909	$20K
87880		1,799	1,497	$16K
85025		2,888	2,327	$16K
92552		856	754	$13K
99393		162	152	$10K
96160		361	312	$8K
96110		450	389	$7K
99202		128	116	$5K
87430		692	480	$5K
99211		255	228	$3K
36415		2,283	1,807	$3K
99173		733	654	$3K
81025		650	544	$3K
96161		273	252	$3K
36416		1,948	1,645	$2K
99384		30	27	$2K
99383		30	29	$2K
J1040	Methylprednisolone 80 mg inj	218	168	$2K
99395		26	19	$2K
96127		373	320	$2K
80305		330	253	$2K
81003		1,130	931	$2K
93000		112	82	$1K
99394		17	16	$1K
J1030	Methylprednisolone 40 mg inj	210	181	$1K
J0696	Ceftriaxone sodium injection	509	352	$894.98
87635		18	17	$874.18
99392		13	13	$854.63
3008F		1,439	1,193	$470.00
J1885	Ketorolac tromethamine inj	329	243	$463.94
99201		17	15	$382.57
G0447	Behavior counsel obesity 15m	20	12	$266.20
90756		17	17	$252.61
J1100	Dexamethasone sodium phos	696	556	$229.38
3079F		288	233	$160.00
87807		12	12	$140.71
1159F		73	68	$120.00
1160F		73	68	$120.00
3074F		734	602	$110.00
3077F		70	58	$90.00
3080F		77	65	$80.00
3078F		627	524	$70.00
3075F		143	116	$30.00
99000		174	153	$0.00
3044F		33	31	$0.00

Medicaid Provider Spending