1770659732

$209K

Total Medicaid Paid

25,024

Total Claims

19,339

Beneficiaries

49

Codes Billed

2018-01

First Month

2023-03

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		4,061	3,019	$112K
99214		2,603	2,112	$67K
96372		1,540	1,271	$12K
3008F		1,520	1,149	$2K
85025		620	497	$2K
J1030	Methylprednisolone 40 mg inj	569	489	$2K
1160F		1,469	1,123	$1K
1159F		1,463	1,116	$1K
87804		201	93	$1K
3074F		980	746	$1K
3078F		898	664	$982.40
99212		45	40	$904.99
1125F		1,189	897	$840.00
36415		1,206	994	$804.60
90674		67	53	$513.56
3079F		303	250	$450.00
90471		59	44	$335.40
3077F		198	144	$330.00
82948		381	292	$317.50
81001		274	221	$304.61
96110		35	29	$294.53
87880		48	40	$279.64
87426		15	15	$262.15
92551		35	29	$229.24
J3420	Vitamin b12 injection	231	188	$213.91
90688		29	27	$200.91
3075F		72	54	$170.00
1126F		132	106	$150.00
81025		55	37	$136.94
3080F		53	42	$130.00
99173		54	44	$95.38
J1885	Ketorolac tromethamine inj	91	79	$88.21
J1020	Methylprednisolone 20 mg inj	25	24	$63.20
80305		16	13	$57.64
83036		135	110	$33.09
J0696	Ceftriaxone sodium injection	34	34	$24.58
G0008	Admin influenza virus vac	12	12	$15.42
G8754	Dias bp less 90	1,247	923	$0.00
G8755	Dias bp > or = 90	14	12	$0.00
G9664	Taking statin or rec'd order	140	101	$0.00
G8420	Calc bmi norm parameters	42	31	$0.00
80502		16	14	$0.00
G8753	Sys bp > or = 140	147	108	$0.00
G8730	Pain doc pos and plan	397	303	$0.00
G8417	Calc bmi abv up param f/u	432	334	$0.00
G8752	Sys bp less 140	1,171	874	$0.00
G8506	Pt rec ace/arb	17	12	$0.00
G8427	Docrev cur meds by elig clin	589	455	$0.00
G8731	Pain neg no plan	94	75	$0.00

Medicaid Provider Spending