FIRST US CLINIC PA

$751K

Total Medicaid Paid

24,855

Total Claims

19,971

Beneficiaries

67

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		8,381	7,133	$383K
99233	Prolong inpt eval add15 m	2,759	1,032	$137K
99223	Prolong inpt eval add15 m	874	722	$84K
99213		2,243	2,003	$53K
99215	Prolong outpt/office vis	392	306	$20K
93923		189	86	$17K
99238		441	358	$13K
99490	Ccm add 20min	1,306	1,293	$10K
95923		95	86	$7K
99232		222	117	$7K
94760		984	814	$7K
95921		95	86	$3K
93000		287	228	$2K
80307		85	78	$1K
99454		61	61	$746.70
80306		82	73	$700.88
93922		19	16	$547.49
99415	Prolong outpt/office vis	123	80	$432.89
83036		105	78	$416.10
81003		596	467	$375.63
99457		112	112	$363.00
80061		85	63	$293.81
90688		26	23	$258.40
80305		40	34	$239.36
90756		17	17	$227.90
99212		18	17	$227.01
99406		190	136	$221.97
90658		28	26	$217.08
99443		90	86	$191.96
99487	Ccm add 20min	15	15	$187.11
99496		13	12	$153.21
84443		35	23	$119.90
G0439	Ppps, subseq visit	117	90	$116.78
99239		119	101	$81.81
85025		39	24	$77.70
80053		43	33	$75.50
51798		14	14	$52.72
3078F		278	265	$30.01
3074F		355	324	$23.68
36415		42	34	$21.00
3077F		677	630	$20.00
3080F		646	588	$20.00
99497		139	122	$15.80
3079F		214	205	$10.00
3075F		57	56	$10.00
3008F		1,318	1,187	$0.01
1158F		27	15	$0.00
80300		13	13	$0.00
J0735	Clonidine hydrochloride	78	66	$0.00
1124F		28	16	$0.00
G0444	Depression screen annual	69	60	$0.00
1160F		27	15	$0.00
96160		59	38	$0.00
1159F		27	15	$0.00
4013F		13	13	$0.00
G0396	Alcohol/subs interv 15-30mn	27	25	$0.00
1125F		126	109	$0.00
H0001	Alcohol and/or drug assess	77	48	$0.00
81000		27	18	$0.00
3066F		23	23	$0.00
G0442	Annual alcohol screen 15 min	14	13	$0.00
82306		21	17	$0.00
96372		59	50	$0.00
99407		22	15	$0.00
1034F		15	15	$0.00
36416		17	17	$0.00
82607		20	16	$0.00

Medicaid Provider Spending