ALLINA HEALTH SYSTEM

$1.30M

Total Medicaid Paid

33,529

Total Claims

31,383

Beneficiaries

64

Codes Billed

2020-02

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		9,003	8,294	$736K
99213		5,441	5,034	$309K
36415		8,118	7,552	$38K
99203		383	379	$28K
U0003	Cov-19 amp prb hgh thruput	304	295	$25K
77067		226	194	$19K
80061		1,173	1,151	$15K
90471		790	770	$11K
G0108	Diab manage trn per indiv	200	161	$10K
80053		851	834	$8K
99202		158	156	$8K
87502		75	67	$6K
84443		390	380	$6K
90686		581	571	$6K
99395		69	63	$5K
83036		491	486	$5K
80050		94	91	$5K
85025		604	569	$4K
87651		129	116	$4K
90460		141	139	$4K
92567		357	335	$4K
U0005	Infec agen detec ampli probe	149	146	$4K
S0302	Completed epsdt	837	822	$3K
71046		147	132	$3K
99396		28	28	$3K
92551		377	367	$3K
82306		92	91	$3K
0054A		55	55	$2K
G0145	Scr c/v cyto,thinlayer,rescr	72	66	$2K
85027		244	241	$2K
77063		42	37	$2K
87491		42	42	$1K
87591		42	42	$1K
99244		15	14	$1K
99394		14	13	$1K
87624		33	27	$945.39
87801		15	15	$914.23
99490	Ccm add 20min	119	119	$872.19
0004A		34	34	$818.99
0124A		29	26	$742.28
90651		15	12	$621.67
90715		26	25	$619.74
92557		30	26	$578.41
99173		373	363	$575.97
90656		33	33	$570.60
87481		15	15	$498.92
87661		15	15	$498.92
99212		15	14	$486.18
80048		54	51	$423.69
90472		29	28	$357.91
81001		78	74	$247.19
87389		14	12	$236.56
87086		28	28	$218.20
86803		17	17	$217.71
G0008	Admin influenza virus vac	19	15	$178.60
Q9967	Locm 300-399mg/ml iodine,1ml	17	14	$148.35
Q0091	Obtaining screen pap smear	80	72	$129.50
83735		15	15	$109.84
85018		40	39	$88.21
82043		14	13	$82.99
96127		18	17	$70.60
99188		12	12	$65.76
81003		25	25	$52.34
G1004	Cdsm ndsc	583	494	$0.00

Medicaid Provider Spending