1730442153

$3.91M

Total Medicaid Paid

152,569

Total Claims

99,246

Beneficiaries

56

Codes Billed

2018-01

First Month

2022-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	33,166	24,628	$2.81M
99213		37,517	22,321	$749K
90832		4,235	2,434	$88K
99214		2,098	1,395	$59K
G0467	Fqhc visit, estab pt	1,470	1,222	$46K
90471		2,984	1,857	$28K
99203		1,093	678	$27K
90686		2,004	1,194	$19K
99212		1,400	845	$17K
83036		3,647	2,337	$15K
99442		1,155	607	$11K
99211		1,260	741	$9K
99396		297	177	$8K
99441		833	425	$4K
D7140		39	12	$2K
99204		62	38	$2K
90715		155	94	$2K
99395		77	47	$2K
G2025	Dis site tele svcs rhc/fqhc	48	44	$1K
G0396	Alcohol/subs interv 15-30mn	58	54	$1K
97810		87	37	$1K
90834		30	25	$804.68
99443		48	29	$440.77
82962		350	197	$376.98
99385		17	12	$368.40
80305		69	26	$284.33
90472		16	12	$109.93
81002		40	26	$20.50
3046F		2,209	1,267	$0.00
4004F		11,706	7,065	$0.00
3045F		654	443	$0.00
G8427	Docrev cur meds by elig clin	2,908	2,475	$0.00
G8753	Sys bp > or = 140	2,673	1,746	$0.00
G8752	Sys bp less 140	5,958	3,875	$0.00
G8417	Calc bmi abv up param f/u	133	116	$0.00
G8598	Asa/antiplat ther used	369	311	$0.00
G8484	Flu immunize no admin	225	213	$0.00
3051F		128	70	$0.00
G8482	Flu immunize order/admin	107	106	$0.00
85610		29	24	$0.00
3044F		841	496	$0.00
1036F		13,768	8,250	$0.00
G8428	Cur meds not document	145	132	$0.00
G8756	No bp measure doc	872	477	$0.00
G8754	Dias bp less 90	6,907	4,472	$0.00
G8420	Calc bmi norm parameters	678	574	$0.00
G8419	Calc bmi out nrm param nof/u	2,054	1,760	$0.00
G8755	Dias bp > or = 90	1,773	1,163	$0.00
99202		55	52	$0.00
D1351		1,525	424	$0.00
3017F		1,543	1,308	$0.00
G9902	Pt scrn tbco and id as user	148	129	$0.00
3014F		594	522	$0.00
G0008	Admin influenza virus vac	16	16	$0.00
G9903	Pt scrn tbco id as non user	156	124	$0.00
G9906	Pt recv tbco cess interv	140	122	$0.00

Medicaid Provider Spending