HENRY FORD HEALTH SYSTEM

$5.93M

Total Medicaid Paid

81,932

Total Claims

63,406

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99291		7,896	2,049	$982K
99215	Prolong outpt/office vis	9,952	9,822	$759K
99205	Prolong outpt/office vis	7,364	7,343	$743K
95720		3,688	1,309	$426K
99214		7,835	7,729	$404K
99223	Prolong inpt eval add15 m	3,323	3,178	$356K
99204		4,828	4,813	$356K
95951		2,246	915	$337K
99232		7,771	2,852	$322K
99233	Prolong inpt eval add15 m	4,545	1,726	$266K
95886		5,199	5,174	$188K
64615		1,532	1,532	$107K
95718		1,313	1,272	$100K
95910		1,498	1,497	$88K
99238		1,397	1,374	$57K
95911		769	765	$56K
95816		1,679	1,639	$53K
99213		1,325	1,297	$47K
95909		1,080	1,076	$47K
95819		1,436	1,419	$46K
99255		358	354	$39K
99231		1,391	824	$30K
99245		199	196	$22K
95908		425	423	$16K
99222		207	206	$15K
99254		155	151	$14K
G2212	Prolong outpt/office vis	399	398	$10K
95913		69	69	$7K
99239		110	110	$7K
99417	Prolong home eval add 15m	242	241	$6K
99203		139	138	$6K
95822		139	132	$4K
95885		256	252	$3K
92507		53	22	$2K
96040		43	43	$2K
99443		40	40	$2K
95912		14	14	$1K
95937		58	56	$1K
G2211	Complex e/m visit add on	820	817	$993.70
99212		28	28	$660.99
95938		14	14	$344.48
95874		13	13	$117.41
G2012	Brief check in by md/qhp	22	22	$62.59
3074F		18	18	$0.00
1101F		14	14	$0.00
3044F		13	13	$0.00
3078F		17	17	$0.00

Medicaid Provider Spending