WISE CLINICAL CARE ASSOCIATES

$969K

Total Medicaid Paid

42,243

Total Claims

34,326

Beneficiaries

51

Codes Billed

2018-01

First Month

2023-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		12,345	10,702	$539K
99214		1,473	1,162	$79K
99391		1,006	994	$69K
99392		943	938	$69K
90460		5,171	2,226	$50K
99204		320	316	$34K
90837		441	254	$23K
96110		2,326	2,314	$18K
87426		351	338	$14K
81002		4,091	3,067	$11K
87804		820	404	$10K
99212		380	357	$10K
90461		1,490	1,289	$9K
99203		80	79	$6K
17110		64	51	$6K
87880		374	363	$5K
99394		39	38	$3K
81003		1,795	1,165	$3K
99215	Prolong outpt/office vis	34	30	$3K
99381		44	43	$2K
99393		24	24	$2K
87807		130	129	$1K
99205	Prolong outpt/office vis	12	12	$1K
81025		179	171	$1K
90791		15	14	$773.44
99460		28	28	$723.24
99202		12	12	$396.85
99462		27	27	$315.22
99233	Prolong inpt eval add15 m	26	12	$95.02
90686		424	422	$17.52
93010		85	66	$6.42
90677		26	26	$0.17
90697		67	67	$0.14
G8431	Pos clin depres scrn f/u doc	424	392	$0.05
90670		761	758	$0.01
90698		552	552	$0.00
1036F		1,615	1,493	$0.00
90744		104	104	$0.00
90680		435	431	$0.00
G8754	Dias bp less 90	107	102	$0.00
96127		60	59	$0.00
G8420	Calc bmi norm parameters	29	29	$0.00
G8427	Docrev cur meds by elig clin	1,880	1,734	$0.00
G8752	Sys bp less 140	111	107	$0.00
96160		57	56	$0.00
90633		99	99	$0.00
G8783	Bp scrn perf rec interval	1,226	1,131	$0.00
90710		57	56	$0.00
1090F		42	42	$0.00
G9357	Pp eval/edu perf	27	27	$0.00
G8417	Calc bmi abv up param f/u	15	14	$0.00

Medicaid Provider Spending