SEA MAR COMMUNITY HEALTH CENTERS

$476K

Total Medicaid Paid

25,396

Total Claims

24,447

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		6,165	5,917	$191K
99214		3,080	2,991	$123K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	2,891	2,759	$29K
99212		1,158	1,085	$28K
90677		113	111	$23K
90471		1,701	1,653	$13K
90686		887	874	$10K
83036		1,757	1,697	$10K
99442		217	206	$7K
T1015	Clinic visit/encounter, all-inclusive	603	537	$6K
90750		78	73	$5K
36415		942	914	$4K
99396		41	41	$4K
99202		95	94	$3K
82948		1,514	1,450	$2K
99204		29	28	$2K
80061		308	297	$2K
99395		26	26	$2K
90715		118	113	$2K
90480		55	54	$2K
90472		201	193	$2K
90732		44	43	$1K
82043		448	437	$1K
90656		72	70	$1K
91320		12	12	$1K
90739		31	31	$659.57
99443		12	12	$581.20
90746		15	15	$330.00
90688		24	24	$289.17
90662		29	28	$169.72
3044F		85	84	$125.00
82274		19	19	$124.28
92250		12	12	$115.20
81002		44	43	$93.29
90658		16	16	$84.92
G0008	Administration of influenza virus vaccine	30	29	$42.82
3074F		816	794	$0.00
3075F		138	138	$0.00
3079F		279	276	$0.00
3078F		740	722	$0.00
1160F		90	89	$0.00
1159F		448	427	$0.00
3077F		13	13	$0.00

Medicaid Provider Spending