PEAK VISTA COMMUNITY HEALTH CENTERS

$9.25M

Total Medicaid Paid

78,807

Total Claims

70,601

Beneficiaries

41

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		30,149	27,292	$5.70M
99214		13,965	12,573	$2.56M
90832		1,625	959	$283K
H0031	Mh health assess by non-md	965	582	$157K
H0023	Alcohol and/or drug outreach	988	671	$116K
H0025	Alcohol and/or drug preventi	720	466	$96K
99212		472	438	$87K
90471		2,287	2,140	$62K
90834		206	153	$49K
90460		359	330	$31K
99204		164	161	$30K
G0467	Fqhc visit, estab pt	1,071	954	$29K
D0999		44	44	$22K
99394		74	70	$13K
99393		29	27	$5K
90837		16	13	$4K
99215	Prolong outpt/office vis	15	13	$3K
99203		12	12	$1K
96372		28	26	$977.44
G8431	Pos clin depres scrn f/u doc	4,159	3,744	$688.78
G2025	Dis site tele svcs rhc/fqhc	26	15	$368.20
96127		5,664	5,232	$270.16
G8510	Scr dep neg, no plan reqd	11,316	10,474	$227.99
90472		68	54	$209.59
81002		40	40	$0.00
G8511	Scr dep pos, no plan doc rng	99	90	$0.00
G8752	Sys bp less 140	28	28	$0.00
90715		37	28	$0.00
1160F		69	68	$0.00
99173		17	17	$0.00
81025		15	14	$0.00
87880		77	71	$0.00
90661		17	17	$0.00
83036		42	42	$0.00
G8433	Scr for dep not cpt doc rsn	2,031	1,929	$0.00
90686		832	775	$0.00
90688		980	938	$0.00
36416		44	44	$0.00
G8754	Dias bp less 90	26	26	$0.00
D0210		19	19	$0.00
96110		12	12	$0.00

Medicaid Provider Spending