UPPER HUDSON PLANNED PARENTHOOD INC.

$5.30M

Total Medicaid Paid

119,327

Total Claims

104,812

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		16,723	11,077	$1.88M
99214		5,544	4,705	$726K
76817		4,276	4,066	$380K
99212		3,400	2,183	$369K
99203		1,934	1,653	$282K
99202		2,943	1,559	$269K
59840		365	365	$237K
87491		7,927	7,785	$229K
S0190	Mifepristone, oral, 200 mg	2,595	2,584	$136K
81025		17,137	15,575	$131K
99201		1,264	576	$104K
87591		7,916	7,794	$97K
99204		564	564	$95K
J1050	Medroxyprogesterone acetate	2,333	2,242	$62K
96372		4,809	4,299	$56K
96127		17,938	16,756	$53K
86703		2,900	2,582	$52K
76830		351	325	$28K
76815		271	268	$27K
59841		38	38	$24K
36415		4,167	4,083	$13K
S0191	Misoprostol, oral, 200 mcg	2,662	2,633	$6K
87661		271	270	$5K
88141		220	220	$5K
80053		179	176	$4K
86701		512	512	$4K
99051		388	378	$3K
58300		25	25	$3K
86901		85	84	$3K
87389		1,367	1,361	$2K
88142		85	85	$2K
88175		136	136	$2K
J2788	Rho d immune globulin 50 mcg	80	80	$2K
87210		1,356	1,323	$2K
85018		1,751	1,676	$2K
86803		996	991	$1K
87624		12	12	$367.39
90385		25	25	$364.52
86780		2,197	2,183	$359.85
85027		226	225	$246.70
80048		13	13	$235.72
84403		67	67	$185.85
86592		177	174	$41.11
81002		52	52	$13.90
S5000	Prescription drug, generic	138	137	$7.00
83986		814	797	$6.74
S5001	Prescription drug,brand name	86	86	$1.75
87340		12	12	$0.00

Medicaid Provider Spending