GREATER LAWRENCE FAMILY HEALTH CENTER INC.

$3.93M

Total Medicaid Paid

92,095

Total Claims

85,337

Beneficiaries

70

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	32,451	29,275	$2.80M
G0467	Fqhc visit, estab pt	14,912	13,158	$504K
J3490	Drugs unclassified injection	177	165	$241K
99391		1,306	1,291	$42K
96110		2,872	2,711	$27K
96127		2,727	2,315	$24K
97802		441	441	$24K
90677		533	533	$23K
97803		480	458	$22K
99392		1,314	1,314	$19K
87804		1,264	1,244	$18K
99395		944	944	$18K
G0470	Fqhc visit, mh estab pt	241	210	$18K
G0511	Ccm/bhi by rhc/fqhc 20min mo	1,238	1,235	$17K
90715		659	659	$16K
99394		1,017	1,017	$13K
99393		1,370	1,370	$13K
87880		764	753	$11K
96372		1,000	932	$10K
91322		60	60	$8K
99050		589	581	$7K
90686		1,344	1,344	$7K
83037		711	705	$6K
81025		720	702	$5K
93000		314	311	$5K
90471		541	531	$4K
G2025	Dis site tele svcs rhc/fqhc	242	194	$3K
90739		62	61	$3K
99381		12	12	$3K
90688		147	147	$3K
90651		186	186	$3K
81002		701	692	$2K
90707		184	184	$2K
90460		783	779	$2K
82948		498	451	$1K
90656		81	81	$1K
G2023	Specimen collect covid-19	55	54	$1K
90649		87	87	$963.13
99188		26	26	$676.00
G0108	Diab manage trn per indiv	14	14	$616.80
90480		13	13	$550.44
90716		123	123	$500.00
87210		90	90	$452.38
88142		17	17	$355.13
90620		67	67	$337.42
86580		49	48	$295.96
90670		239	239	$150.00
90696		67	67	$0.00
99214		9,190	8,714	$0.00
90680		587	587	$0.00
90619		221	221	$0.00
99213		4,731	4,304	$0.00
90723		515	515	$0.00
90697		97	97	$0.00
92558		1,011	1,000	$0.00
91305		14	14	$0.00
91301		25	25	$0.00
G0439	Ppps, subseq visit	13	13	$0.00
90648		684	684	$0.00
90700		56	56	$0.00
90633		360	360	$0.00
Q0091	Obtaining screen pap smear	583	583	$0.00
90734		19	19	$0.00
90671		79	79	$0.00
G0468	Fqhc visit, ippe or awv	13	13	$0.00
90710		56	56	$0.00
99051		24	24	$0.00
91300		36	34	$0.00
90832		14	13	$0.00
90661		35	35	$0.00

Medicaid Provider Spending