IHC HEALTH SERVICES INC

$854K

Total Medicaid Paid

37,278

Total Claims

34,149

Beneficiaries

75

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		7,336	6,675	$315K
99213		4,618	4,338	$172K
99204		801	786	$69K
99215	Prolong outpt/office vis	676	648	$47K
99203		754	729	$35K
71046		5,562	4,876	$27K
99205	Prolong outpt/office vis	215	210	$22K
99391		555	527	$20K
99393		466	462	$17K
90471		2,872	2,800	$16K
99392		487	485	$15K
92014		398	325	$11K
91320		144	143	$10K
73630		1,578	1,314	$8K
99212		337	307	$8K
90677		289	285	$7K
99394		135	133	$5K
90472		1,136	1,108	$5K
73610		695	619	$4K
99490	Ccm add 20min	109	109	$3K
73562		567	449	$3K
90651		58	57	$3K
99396		44	43	$3K
90480		288	285	$3K
99395		56	56	$3K
77067		64	47	$2K
72100		260	228	$2K
92004		13	13	$2K
73130		306	229	$2K
93010		522	432	$1K
90686		1,033	999	$1K
20610		106	65	$1K
90715		73	72	$1K
73030		241	200	$1K
73110		183	156	$1K
96372		208	173	$1K
90656		167	163	$978.95
0071A		30	30	$960.00
92015		635	578	$918.20
G2211	Complex e/m visit add on	896	845	$734.73
0072A		16	16	$520.01
96110		167	106	$391.39
76856		61	51	$329.65
90474		145	145	$241.73
74018		46	41	$238.95
73140		42	38	$186.74
71101		15	13	$166.82
11721		12	12	$148.25
72040		28	25	$118.10
93793		100	60	$99.45
92133		23	12	$92.81
J3301	Triamcinolone acet inj nos	31	29	$75.46
90662		15	15	$59.52
96381		16	16	$57.96
73660		12	12	$46.89
99177		173	170	$10.18
Q9966	Locm 200-299mg/ml iodine,1ml	78	66	$8.21
G0439	Ppps, subseq visit	26	24	$5.41
J1100	Dexamethasone sodium phos	24	24	$0.36
91321		14	14	$0.01
90670		170	168	$0.00
90633		25	24	$0.00
Q9967	Locm 300-399mg/ml iodine,1ml	16	15	$0.00
90734		13	13	$0.00
G0444	Depression screen annual	13	13	$0.00
95251		12	12	$0.00
99024		198	168	$0.00
J1040	Methylprednisolone 80 mg inj	68	50	$0.00
90723		265	263	$0.00
90647		244	240	$0.00
90680		189	188	$0.00
90381		13	13	$0.00
G0008	Admin influenza virus vac	36	36	$0.00
91307		32	32	$0.00
91318		27	26	$0.00

Medicaid Provider Spending