PRIMECARE MEDICAL CLINIC, PA

$116K

Total Medicaid Paid

10,774

Total Claims

9,339

Beneficiaries

46

Codes Billed

2019-01

First Month

2024-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		2,803	2,491	$109K
99215	Prolong outpt/office vis	58	55	$3K
99213		59	53	$1K
96156		339	297	$871.80
99396		16	12	$654.08
93000		99	93	$615.69
G0444	Depression screen annual	701	589	$427.29
99497		59	55	$33.58
1170F		130	113	$21.65
1055F		357	337	$12.61
1036F		274	241	$12.61
G8510	Scr dep neg, no plan reqd	622	531	$0.00
3074F		404	363	$0.00
G8535	Eld maltreatment not doc	524	441	$0.00
S0257	End of life counseling	57	44	$0.00
3072F		141	108	$0.00
3044F		329	288	$0.00
1101F		46	46	$0.00
1126F		71	66	$0.00
1125F		24	23	$0.00
G8420	Calc bmi norm parameters	204	165	$0.00
G8419	Calc bmi out nrm param nof/u	51	46	$0.00
G9903	Pt scrn tbco id as non user	278	244	$0.00
3017F		42	33	$0.00
G8754	Dias bp less 90	33	28	$0.00
96150		177	135	$0.00
G9664	Taking statin or rec'd order	19	16	$0.00
3014F		37	27	$0.00
4037F		31	24	$0.00
3078F		338	284	$0.00
2022F		142	109	$0.00
4004F		214	190	$0.00
4019F		507	443	$0.00
3725F		639	546	$0.00
99080		71	61	$0.00
G9899	Scrn mam perf rslts doc	20	18	$0.00
G8483	Flu imm no admin doc rea	243	210	$0.00
1159F		101	92	$0.00
G8511	Scr dep pos, no plan doc rng	20	12	$0.00
G8417	Calc bmi abv up param f/u	108	89	$0.00
1160F		100	92	$0.00
1090F		89	76	$0.00
3015F		51	36	$0.00
G8752	Sys bp less 140	45	38	$0.00
3288F		68	55	$0.00
3006F		33	24	$0.00

Medicaid Provider Spending