CLEAR LAKE PRIMARY CARE PLLC

$311K

Total Medicaid Paid

29,161

Total Claims

22,406

Beneficiaries

47

Codes Billed

2020-06

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		5,989	4,898	$238K
99213		1,229	1,101	$37K
99215	Prolong outpt/office vis	174	146	$12K
99204		89	84	$6K
99309		585	215	$6K
90674		207	190	$4K
90471		232	209	$2K
99203		29	27	$2K
99385		16	16	$1K
90756		57	50	$1K
99395		12	12	$832.72
90661		12	12	$293.63
94760		173	136	$39.52
99211		18	12	$29.92
G8510	Scr dep neg, no plan reqd	1,814	1,313	$1.37
G8431	Pos clin depres scrn f/u doc	136	109	$0.07
G8482	Flu immunize order/admin	1,181	866	$0.00
G8427	Docrev cur meds by elig clin	3,722	2,648	$0.00
G8417	Calc bmi abv up param f/u	893	723	$0.00
G8483	Flu imm no admin doc rea	200	150	$0.00
G0444	Depression screen annual	47	43	$0.00
3078F		430	333	$0.00
1159F		1,069	851	$0.00
G9744	Pt not eli d/t act dig htn	522	389	$0.00
G9899	Scrn mam perf rslts doc	271	204	$0.00
G8783	Bp scrn perf rec interval	1,071	869	$0.00
1160F		214	174	$0.00
G8752	Sys bp less 140	521	386	$0.00
G0030	Pt scr tob & cess int	19	12	$0.00
G2211	Complex e/m visit add on	40	34	$0.00
G8484	Flu immunize no admin	16	13	$0.00
3017F		665	467	$0.00
1125F		464	364	$0.00
1036F		2,599	1,882	$0.00
3008F		812	661	$0.00
G9903	Pt scrn tbco id as non user	448	366	$0.00
G8754	Dias bp less 90	573	422	$0.00
1126F		402	317	$0.00
3074F		526	415	$0.00
1220F		262	199	$0.00
1111F		374	285	$0.00
G8420	Calc bmi norm parameters	662	515	$0.00
3075F		124	91	$0.00
2010F		42	31	$0.00
2001F		42	32	$0.00
3079F		138	105	$0.00
2000F		40	29	$0.00

Medicaid Provider Spending