STONES RIVER REGIONAL INDEPENDENT PRACTICE ASSOCIATION

$310K

Total Medicaid Paid

13,340

Total Claims

10,630

Beneficiaries

58

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99284		1,526	1,399	$92K
99285		974	847	$76K
99213		3,206	2,633	$69K
99214		766	649	$18K
99283		284	271	$11K
76815		141	119	$10K
99204		102	96	$8K
99203		105	99	$5K
76816		137	119	$4K
93010		684	558	$3K
87880		133	119	$2K
96372		132	69	$1K
96110		29	29	$1K
99223	Prolong inpt eval add15 m	12	12	$1K
76811		12	12	$1K
96127		240	115	$1K
76819		28	14	$932.78
90471		130	105	$914.21
76817		22	18	$784.01
71045		196	152	$715.83
87804		54	23	$561.05
99173		51	49	$472.80
71046		73	68	$462.61
92552		24	24	$347.15
81025		32	29	$203.31
G0444	Depression screen annual	108	60	$181.88
90756		38	17	$147.54
90460		14	12	$112.75
90656		15	12	$95.45
36415		83	74	$92.20
G0442	Annual alcohol screen 15 min	64	32	$83.40
81003		19	15	$37.38
85025		30	27	$21.05
80053		30	27	$13.46
81002		18	14	$5.24
G8417	Calc bmi abv up param f/u	570	391	$0.00
99490	Ccm add 20min	22	19	$0.00
4040F		240	192	$0.00
G8484	Flu immunize no admin	76	59	$0.00
G8730	Pain doc pos and plan	194	154	$0.00
80307		147	129	$0.00
92015		66	57	$0.00
1159F		185	111	$0.00
77067		16	15	$0.00
1160F		90	57	$0.00
3078F		145	83	$0.00
1003F		101	50	$0.00
92014		64	51	$0.00
3048F		263	187	$0.00
3008F		625	464	$0.00
G8420	Calc bmi norm parameters	42	26	$0.00
3044F		530	357	$0.00
1036F		193	150	$0.00
3074F		166	96	$0.00
3079F		21	14	$0.00
G0008	Admin influenza virus vac	17	13	$0.00
3049F		28	12	$0.00
90686		27	25	$0.00

Medicaid Provider Spending