ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

$15.31M

Total Medicaid Paid

229,531

Total Claims

175,449

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		57,630	56,397	$4.33M
99233	Prolong inpt eval add15 m	46,318	16,617	$4.04M
99232		33,601	13,149	$2.09M
99223	Prolong inpt eval add15 m	8,974	8,266	$1.38M
99213		25,357	24,933	$1.00M
99204		4,868	4,849	$533K
99239		5,637	5,377	$484K
99222		3,279	3,095	$349K
99215	Prolong outpt/office vis	2,628	2,553	$328K
99203		1,308	1,298	$102K
99220		721	713	$101K
99396		1,139	1,138	$96K
99238		1,367	1,332	$82K
99235		582	579	$82K
99211		5,911	5,798	$67K
46607		213	212	$28K
99217		416	400	$23K
99236	Prolong inpt eval add15 m	132	131	$20K
99234		181	179	$19K
99219		170	166	$18K
99395		206	206	$18K
G2211	Complex e/m visit add on	1,814	1,776	$18K
36415		9,250	9,111	$12K
99284		98	95	$11K
99336		93	91	$11K
91320		84	84	$8K
99443		155	148	$8K
99051		757	753	$6K
99212		304	262	$5K
99285		33	32	$5K
92012		63	63	$4K
99231		98	56	$4K
90686		199	199	$4K
99385		49	49	$4K
99221		35	34	$3K
99442		108	107	$3K
93010		458	455	$3K
90471		325	319	$3K
99225		44	40	$2K
99350	Prolong home eval add 15m	141	138	$2K
99218		24	24	$2K
92004		13	13	$1K
92014		12	12	$1K
99441		41	40	$1K
93000		66	66	$495.22
G0444	Depression screen annual	96	96	$405.07
99447		23	12	$384.84
91200		15	15	$66.30
1036F		11,802	11,493	$62.57
4004F		1,373	1,306	$0.00
99499		170	85	$0.00
99072		1,126	1,063	$0.00
99453		12	12	$0.00
99454		12	12	$0.00

Medicaid Provider Spending