TEMPLE FACULTY PRACTICE PLAN, INC

$2.85M

Total Medicaid Paid

57,900

Total Claims

53,367

Beneficiaries

45

Codes Billed

2020-05

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		21,403	19,113	$1.09M
59409		446	443	$646K
99214		6,090	5,699	$383K
99212		5,445	4,888	$205K
99284		1,304	1,243	$86K
99395		2,388	2,364	$71K
99215	Prolong outpt/office vis	672	655	$60K
J1050	Medroxyprogesterone acetate	1,525	1,493	$42K
81025		6,749	6,536	$37K
59025		1,514	1,327	$28K
99396		1,039	1,034	$27K
G9012	Other specified case mgmt	141	136	$21K
96372		1,710	1,610	$21K
99205	Prolong outpt/office vis	140	137	$19K
99211		623	594	$18K
0502F		1,287	1,061	$13K
J7307	Etonogestrel implant system	176	173	$12K
99232		199	135	$11K
99204		100	99	$10K
99244		67	65	$9K
99386		246	243	$7K
99385		194	194	$6K
90715		1,087	1,056	$4K
36415		858	816	$4K
76815		132	118	$3K
81000		602	474	$3K
90471		161	155	$3K
54150		30	28	$3K
99429		12	12	$2K
90686		435	423	$2K
81002		570	528	$2K
99222		12	12	$2K
99203		14	13	$898.65
57456		12	12	$778.03
99231		22	17	$624.23
T1016	Case management	65	62	$623.74
99202		12	12	$574.37
51798		26	26	$460.54
S9470	Nutritional counseling, diet	18	17	$331.14
81003		157	140	$320.41
87210		57	54	$130.27
51701		15	15	$0.00
S4993	Contraceptive pills for bc	12	12	$0.00
0500F		78	77	$0.00
J7298	Mirena, 52 mg	55	46	$0.00

Medicaid Provider Spending