INNOVATIVE FAMILY CARE, PLLC

$371K

Total Medicaid Paid

18,735

Total Claims

15,102

Beneficiaries

28

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		7,435	5,605	$210K
99213		4,294	3,436	$99K
99490	Ccm add 20min	1,786	1,574	$16K
99491	Ccm add 20min	1,037	982	$16K
99215	Prolong outpt/office vis	428	336	$12K
99487	Ccm add 20min	449	413	$6K
99439		364	278	$3K
99396		33	26	$2K
99497		63	55	$2K
90686		85	78	$887.73
90674		70	65	$740.14
G0008	Admin influenza virus vac	155	148	$728.11
99308		82	81	$388.23
99212		19	15	$304.60
96372		18	12	$250.27
99489	Ccm add 20min	13	12	$226.83
99211		20	13	$196.65
Q2036	Flulaval vacc, 3 yrs & >, im	31	28	$189.84
G0506	Comp asses care plan ccm svc	14	14	$189.23
99309		16	12	$105.96
G2211	Complex e/m visit add on	43	31	$98.81
81002		46	38	$49.47
83036		33	28	$28.83
36415		18	13	$12.77
G8752	Sys bp less 140	1,012	843	$0.00
G8753	Sys bp > or = 140	14	13	$0.00
G8754	Dias bp less 90	1,123	925	$0.00
G8510	Scr dep neg, no plan reqd	34	28	$0.00

Medicaid Provider Spending