COUNTY OF SAN BERNARDINO

$125K

Total Medicaid Paid

58,300

Total Claims

56,804

Beneficiaries

46

Codes Billed

2018-08

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90750		258	258	$42K
99213		24,186	23,491	$19K
99214		21,189	20,713	$12K
92551		728	727	$8K
90715		201	201	$7K
90686		856	852	$6K
90688		516	516	$5K
99203		533	521	$5K
90837		92	55	$5K
99212		4,437	4,284	$4K
99202		330	320	$3K
87591		129	123	$2K
87536		48	44	$1K
90656		75	75	$1K
87491		89	89	$1K
85025		831	776	$1K
86360		46	44	$776.16
86592		104	101	$574.62
96110		213	212	$570.70
99211		88	86	$411.48
90734		27	27	$187.11
82465		22	21	$149.14
83036		1,836	1,835	$135.20
90710		17	17	$108.00
99234		67	57	$102.30
81003		84	83	$96.84
99393		80	80	$86.82
90672		13	13	$80.19
99392		56	56	$74.04
90651		13	13	$71.28
90633		14	14	$71.28
99204		114	114	$68.21
90670		13	13	$44.55
99000		28	28	$39.49
86703		181	181	$35.52
A4267	Contraceptive supply, condom, male, each	68	66	$22.94
80305		57	50	$9.88
85018		26	26	$6.15
82962		14	13	$3.96
81025		27	27	$2.77
90471		113	110	$0.00
99188		46	38	$0.00
99215	Prolong outpt/office vis	323	323	$0.00
99395		17	16	$0.00
G9920	Screening performed and negative	71	71	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	24	24	$0.00

Medicaid Provider Spending