FAMILY PRACTICE ASSOCIATES OF TAOS

$1.29M

Total Medicaid Paid

24,469

Total Claims

22,327

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		10,189	9,120	$790K
99213		4,511	4,054	$245K
99215	Prolong outpt/office vis	2,015	1,827	$184K
99204		136	134	$18K
G0444	Depression screen annual	983	957	$12K
99490	Ccm add 20min	382	355	$10K
90471		309	298	$6K
90686		330	323	$6K
S9999	Sales tax	620	528	$4K
99203		42	42	$4K
87426		116	110	$3K
99396		28	28	$3K
81002		1,260	1,192	$2K
91320		21	21	$2K
87804		64	59	$925.24
99497		14	14	$651.96
90480		21	21	$508.47
96127		72	72	$296.15
94664		18	16	$203.05
93000		12	12	$156.99
82270		41	39	$125.77
87880		13	13	$125.62
99406		13	13	$103.86
90662		15	15	$80.24
85018		37	37	$57.64
G8510	Scr dep neg, no plan reqd	881	857	$25.00
J7620	Albuterol ipratrop non-comp	15	13	$1.71
G9717	Doc pt dx bipol	265	256	$0.00
3075F		96	94	$0.00
G8754	Dias bp less 90	247	229	$0.00
3074F		474	425	$0.00
3080F		84	78	$0.00
G9903	Pt scrn tbco id as non user	129	128	$0.00
1036F		39	39	$0.00
99000		15	13	$0.00
G0008	Admin influenza virus vac	17	17	$0.00
3078F		434	397	$0.00
3077F		90	82	$0.00
1160F		157	145	$0.00
G8752	Sys bp less 140	117	111	$0.00
G8431	Pos clin depres scrn f/u doc	108	104	$0.00
1100F		14	14	$0.00
1159F		25	25	$0.00

Medicaid Provider Spending