HAMILTON COMMUNITY HEALTH NETWORK INC.

$2.13M

Total Medicaid Paid

87,785

Total Claims

80,347

Beneficiaries

55

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0467	Fqhc visit, estab pt	29,335	25,600	$1.55M
99213		13,807	12,709	$154K
99214		7,794	7,315	$134K
G0466	Fqhc visit new patient	1,731	1,719	$107K
G0468	Fqhc visit, ippe or awv	1,330	1,315	$76K
99212		6,043	5,634	$48K
99396		739	730	$16K
99395		841	834	$15K
G0470	Fqhc visit, mh estab pt	176	174	$9K
99203		400	398	$5K
99204		194	194	$4K
90832		176	174	$3K
G2025	Dis site tele svcs rhc/fqhc	623	531	$2K
90471		770	752	$2K
90715		132	130	$2K
96372		569	519	$1K
90688		284	278	$1K
90460		271	257	$1K
93005		456	451	$809.98
90472		184	178	$686.52
93000		304	304	$678.40
J3420	Vitamin b12 injection	338	245	$562.63
81025		155	154	$442.06
Q0091	Obtaining screen pap smear	53	53	$350.14
81002		348	343	$313.92
G0101	Ca screen;pelvic/breast exam	53	53	$313.17
J1885	Ketorolac tromethamine inj	200	182	$301.85
99000		64	62	$287.76
90686		30	30	$168.20
99394		13	13	$160.78
99406		27	27	$108.20
90707		13	12	$55.00
82962		105	100	$51.49
80305		21	19	$20.86
3074F		4,053	3,746	$0.15
3008F		5,552	5,127	$0.11
3079F		2,539	2,414	$0.11
3078F		2,466	2,334	$0.06
3050F		165	148	$0.03
3077F		991	902	$0.03
3080F		1,038	951	$0.03
3044F		900	831	$0.03
3075F		986	961	$0.02
3049F		303	291	$0.01
1159F		201	193	$0.00
3725F		219	212	$0.00
G8417	Calc bmi abv up param f/u	87	87	$0.00
3511F		13	13	$0.00
90687		29	29	$0.00
1160F		206	197	$0.00
3048F		307	283	$0.00
94760		13	13	$0.00
99443		19	12	$0.00
1036F		106	101	$0.00
1126F		13	13	$0.00

Medicaid Provider Spending