WESTERN UNIVERSITY OF HEALTH SCIENCES

$555K

Total Medicaid Paid

53,395

Total Claims

51,350

Beneficiaries

55

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		14,250	13,878	$166K
99213		16,777	15,814	$139K
99215	Prolong outpt/office vis	1,557	1,480	$78K
97803		669	661	$31K
99204		564	562	$30K
99309		742	740	$19K
99203		385	383	$14K
90960		88	85	$12K
97597		265	244	$10K
99205	Prolong outpt/office vis	119	119	$10K
98926		345	327	$8K
90686		707	706	$5K
97802		30	30	$4K
90656		241	182	$3K
92004		66	66	$3K
11721		157	157	$3K
92015		312	312	$2K
90471		2,954	2,930	$2K
90961		24	24	$2K
11042		27	24	$2K
87426		195	189	$2K
90658		161	129	$1K
99212		339	323	$1K
92551		347	346	$1K
85018		2,105	2,077	$1K
V2020	Vision svcs frames purchases	44	44	$928.39
96127		1,039	1,038	$779.92
92340		29	29	$724.93
98925		43	40	$525.96
H0049	Alcohol/drug screening	190	190	$522.00
81003		1,052	1,007	$430.70
99072		4,232	3,936	$383.96
G0442	Annual alcohol screen 15 min	25	25	$375.59
99393		29	29	$230.82
99173		241	240	$188.96
99202		56	56	$174.06
V5008	Hearing screening	17	17	$151.76
3077F		122	116	$121.10
83036		15	15	$113.10
81025		142	141	$109.92
G2012	Brief check in by md/qhp	55	55	$94.36
88150		26	26	$69.00
99442		211	200	$66.93
99441		165	158	$12.58
36415		568	548	$2.50
99443		31	31	$0.00
3074F		235	231	$0.00
3008F		710	709	$0.00
3079F		165	161	$0.00
3075F		13	13	$0.00
1170F		13	13	$0.00
3078F		351	345	$0.00
99392		15	15	$0.00
G0444	Depression screen annual	54	54	$0.00
90472		81	80	$0.00

Medicaid Provider Spending