LRGHEALTHCARE

$2.92M

Total Medicaid Paid

100,623

Total Claims

84,112

Beneficiaries

63

Codes Billed

2018-01

First Month

2021-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		27,297	22,329	$956K
99214		13,200	10,782	$615K
99284		9,502	8,090	$403K
99283		11,719	10,438	$378K
99392		1,536	1,397	$93K
80305		10,655	8,387	$92K
99282		3,045	2,786	$65K
99391		958	794	$58K
99393		808	771	$49K
90471		6,096	5,520	$30K
99285		314	263	$18K
90472		2,730	2,470	$17K
H0001	Alcohol and/or drug assess	88	80	$13K
99394		197	194	$12K
99232		794	286	$12K
99231		771	262	$10K
99212		363	263	$9K
99215	Prolong outpt/office vis	238	190	$9K
92557		420	362	$8K
99238		188	130	$6K
99204		110	103	$6K
99222		120	80	$6K
90791		128	80	$5K
90792		160	130	$5K
92567		627	575	$4K
99223	Prolong inpt eval add15 m	99	71	$4K
G2023	Specimen collect covid-19	192	174	$4K
99309		525	314	$4K
95117		432	345	$4K
99203		121	114	$4K
99239		92	71	$2K
92551		475	438	$2K
90686		2,775	2,530	$2K
99173		439	405	$2K
11721		345	233	$2K
H0038	Self-help/peer svc per 15min	45	41	$1K
87804		143	106	$1K
99205	Prolong outpt/office vis	32	24	$1K
99233	Prolong inpt eval add15 m	63	29	$915.93
93005		17	12	$758.10
93010		111	100	$705.67
81025		113	109	$603.69
83655		52	51	$546.91
96372		30	29	$394.38
36416		406	357	$167.33
90651		91	82	$165.18
83718		21	17	$126.72
99000		180	161	$122.81
87807		14	13	$108.35
85018		37	37	$75.22
82465		21	17	$67.32
90473		12	12	$60.00
72100		16	13	$58.80
Q9991	Buprenorph xr 100 mg or less	14	14	$0.06
90633		207	173	$0.00
90670		690	619	$0.00
90648		181	161	$0.00
90685		171	134	$0.00
90734		15	14	$0.00
90698		219	195	$0.00
90723		126	108	$0.00
90680		21	15	$0.00
90744		16	12	$0.00

Medicaid Provider Spending