IMPACT CARE ACCESS NETWORK INC

$1.17M

Total Medicaid Paid

75,077

Total Claims

71,413

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99203		7,435	7,419	$398K
S9083	Urgent care center global	5,935	5,476	$349K
99214		10,565	9,920	$279K
99213		5,470	5,166	$100K
99204		539	517	$37K
94760		5,177	4,896	$3K
97802		284	275	$1K
99202		14	12	$509.43
99212		42	40	$453.42
G0444	Depression screen annual	279	267	$390.00
99386		14	14	$264.40
99408		313	304	$250.00
99385		13	13	$188.70
92551		39	39	$159.28
H0049	Alcohol/drug screening	570	541	$144.00
81003		475	468	$136.61
99000		359	356	$134.15
1036F		237	218	$125.00
G8510	Scr dep neg, no plan reqd	154	147	$119.70
99396		13	13	$108.80
85018		214	207	$62.46
G8431	Pos clin depres scrn f/u doc	104	103	$50.00
96372		114	114	$37.31
99173		529	521	$32.03
99211		15	13	$21.88
87430		48	48	$16.20
99406		92	82	$11.34
J1100	Dexamethasone sodium phos	554	551	$6.51
J1885	Ketorolac tromethamine inj	41	40	$4.95
3008F		5,504	5,201	$0.14
1159F		4,030	3,808	$0.10
2010F		4,615	4,357	$0.07
1160F		3,827	3,619	$0.07
4004F		3,701	3,504	$0.06
1126F		2,255	2,142	$0.05
1125F		831	803	$0.03
3074F		2,451	2,335	$0.01
1220F		2,342	2,231	$0.01
3078F		1,970	1,879	$0.01
G0439	Ppps, subseq visit	13	13	$0.00
1111F		2,315	2,199	$0.00
3075F		192	189	$0.00
3079F		737	713	$0.00
81005		13	13	$0.00
3080F		92	90	$0.00
1170F		37	36	$0.00
36415		14	14	$0.00
3077F		254	243	$0.00
99401		80	80	$0.00
G2023	Specimen collect covid-19	95	95	$0.00
1158F		27	26	$0.00
97803		16	16	$0.00
3725F		28	27	$0.00

Medicaid Provider Spending