DEACONESS CLINIC INC.

$1.32M

Total Medicaid Paid

48,812

Total Claims

37,633

Beneficiaries

56

Codes Billed

2018-01

First Month

2024-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		10,781	9,916	$428K
99213		8,927	7,921	$235K
99232		8,660	3,700	$191K
90834		1,628	1,160	$59K
99203		1,137	1,033	$42K
90837		997	637	$41K
99308		3,661	3,107	$37K
90847		596	400	$35K
43239		563	536	$35K
99222		643	563	$33K
99204		761	726	$29K
99233	Prolong inpt eval add15 m	997	536	$27K
99309		1,809	1,376	$20K
95165		132	47	$12K
95117		1,480	973	$10K
11056		368	240	$7K
99393		83	80	$7K
99212		529	483	$6K
43235		73	69	$6K
90471		729	675	$6K
95004		39	36	$6K
99307		562	496	$5K
99231		418	303	$5K
99223	Prolong inpt eval add15 m	101	71	$4K
G0108	Diab manage trn per indiv	94	73	$4K
11719		737	553	$3K
99202		137	115	$3K
90960		154	143	$3K
45385		16	14	$3K
99306	Prolong nursin fac eval 15m	42	41	$2K
96372		259	218	$2K
99394		25	25	$2K
90686		476	460	$2K
11055		171	104	$2K
11042		64	37	$2K
90962		154	140	$2K
90961		105	86	$1K
99396		15	12	$1K
17110		38	30	$731.35
96900		47	12	$624.19
11102		14	14	$573.78
0004A		123	54	$565.94
99442		21	15	$477.19
83036		89	85	$404.62
11721		37	26	$369.82
99211		31	29	$326.35
0064A		27	15	$223.26
11100		108	101	$204.40
90472		15	15	$168.00
17003		12	12	$138.04
99441		12	12	$119.23
17000		13	13	$93.10
G2012	Brief check in by md/qhp	14	14	$17.19
J1100	Dexamethasone sodium phos	14	13	$9.13
99024		33	27	$0.00
G0008	Admin influenza virus vac	41	41	$0.00

Medicaid Provider Spending