JEFFERSON MEDICAL CLINIC LLC

$2.85M

Total Medicaid Paid

109,791

Total Claims

92,083

Beneficiaries

58

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		14,715	13,161	$733K
93306		3,312	3,036	$432K
93880		2,300	2,079	$243K
99396		3,374	3,142	$217K
76700		2,522	2,355	$167K
87502		2,643	1,357	$166K
93925		959	846	$121K
76770		1,669	1,574	$105K
99395		1,886	1,694	$105K
90682		1,345	1,276	$73K
99212		2,512	2,269	$57K
90746		836	776	$49K
90471		3,428	3,228	$47K
93000		3,388	3,190	$39K
99202		952	844	$33K
99385		395	361	$26K
95004		78	77	$19K
82977		4,072	3,180	$16K
90759		283	253	$16K
90686		826	789	$15K
82150		4,074	3,178	$15K
84460		4,048	3,177	$12K
82570		3,141	2,773	$12K
82310		4,046	3,177	$12K
84450		4,048	3,177	$12K
84075		4,059	3,180	$11K
82565		4,057	3,177	$11K
82040		4,077	3,180	$11K
84550		4,062	3,177	$10K
99386		123	122	$10K
84520		4,056	3,177	$9K
82947		4,047	3,177	$9K
82247		4,021	3,180	$8K
84155		4,076	3,180	$8K
82044		2,931	2,578	$6K
99203		86	84	$4K
87880		326	278	$3K
99213		66	63	$2K
99490	Ccm add 20min	368	357	$2K
87811		70	68	$2K
87804		142	69	$2K
81002		834	769	$2K
91320		16	12	$1K
82043		201	195	$986.67
36410		66	65	$462.89
90658		33	33	$431.59
90472		34	32	$292.16
90480		16	12	$236.64
96372		46	37	$149.51
G0447	Behavior counsel obesity 15m	34	26	$113.50
G0444	Depression screen annual	240	169	$108.54
99406		14	14	$45.42
J0702	Betamethasone acet&sod phosp	22	12	$9.18
G0439	Ppps, subseq visit	46	44	$0.00
G0008	Admin influenza virus vac	222	203	$0.00
G0442	Annual alcohol screen 15 min	117	97	$0.00
G0446	Intens behave ther cardio dx	276	205	$0.00
90662		155	142	$0.00

Medicaid Provider Spending