MERCY FAMILY HEALTH CENTER

$631K

Total Medicaid Paid

44,613

Total Claims

33,296

Beneficiaries

44

Codes Billed

2018-01

First Month

2021-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		4,226	3,165	$294K
99213		3,453	2,490	$181K
94060		521	390	$21K
96372		556	366	$13K
94640		1,070	801	$11K
94664		1,056	789	$10K
92587		509	335	$10K
83036		1,672	1,325	$10K
99308		648	589	$9K
87804		538	168	$8K
90471		857	597	$8K
99306	Prolong nursin fac eval 15m	191	172	$8K
99396		88	66	$8K
99406		2,318	1,741	$7K
99309		396	338	$7K
A7016	Nebulizer dome & mouthpiece	813	606	$5K
90656		446	334	$3K
82947		1,346	1,030	$3K
99497		152	121	$2K
99394		18	18	$2K
99173		1,643	1,189	$2K
90686		234	158	$2K
99395		20	16	$2K
A7003	Nebulizer administration set	833	622	$1K
93000		125	101	$1K
G0444	Depression screen annual	124	89	$761.06
90472		36	14	$653.14
99498		21	20	$563.28
3044F		800	670	$500.00
81002		122	98	$309.70
J1030	Methylprednisolone 40 mg inj	18	13	$87.74
3046F		16	14	$60.00
3045F		45	31	$60.00
J7613	Albuterol non-comp unit	191	142	$11.92
J1885	Ketorolac tromethamine inj	20	14	$10.72
J1100	Dexamethasone sodium phos	18	13	$0.98
G8482	Flu immunize order/admin	2,144	1,509	$0.00
4004F		2,460	1,877	$0.00
G8483	Flu imm no admin doc rea	625	412	$0.00
G8752	Sys bp less 140	1,867	1,559	$0.00
4040F		1,264	941	$0.00
G8427	Docrev cur meds by elig clin	9,079	6,645	$0.00
G8754	Dias bp less 90	2,000	1,678	$0.00
G0008	Admin influenza virus vac	34	30	$0.00

Medicaid Provider Spending