PRESBYTERIAN MEDICAL SERVICES

$11.04M

Total Medicaid Paid

77,684

Total Claims

60,295

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		15,309	14,185	$2.47M
99213		14,443	11,040	$2.23M
H2015	Comp comm supp svc, 15 min	10,292	4,143	$1.80M
90834		8,519	6,700	$1.49M
90837		3,231	2,599	$571K
90791		2,972	2,953	$516K
90832		2,750	2,238	$481K
90853		2,582	1,100	$458K
H2017	Psysoc rehab svc, per 15 min	998	179	$166K
Q3014	Telehealth facility fee	6,932	6,349	$141K
99441		751	677	$129K
99442		744	668	$128K
99212		746	702	$124K
90792		553	541	$99K
99203		421	412	$66K
G0467	Fqhc visit, estab pt	1,652	1,158	$49K
99202		188	188	$31K
H2011	Crisis interven svc, 15 min	134	129	$24K
99204		67	66	$11K
0012A		37	36	$6K
83036		659	645	$6K
87880		87	84	$5K
0011A		29	29	$5K
87428		155	151	$4K
90847		22	16	$4K
36415		895	873	$3K
85025		282	277	$3K
99394		16	16	$3K
99443		15	14	$3K
99211		13	13	$2K
G2025	Dis site tele svcs rhc/fqhc	63	45	$2K
99396		13	12	$2K
99215	Prolong outpt/office vis	15	14	$2K
90471		452	448	$2K
99173		59	59	$777.56
G0480	Drug test def 1-7 classes	106	71	$570.56
86703		30	30	$538.86
90715		100	100	$520.10
90688		169	169	$347.68
90686		45	44	$186.43
80061		165	164	$183.39
87086		13	13	$166.64
36416		258	252	$51.12
87491		15	15	$0.00
81002		12	12	$0.00
90472		16	16	$0.00
84443		177	177	$0.00
82306		27	27	$0.00
80053		322	318	$0.00
H0048	Spec coll non-blood:a/d test	29	26	$0.00
96372		64	62	$0.00
81001		25	25	$0.00
87591		15	15	$0.00

Medicaid Provider Spending