GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION

$2.43M

Total Medicaid Paid

56,734

Total Claims

55,417

Beneficiaries

59

Codes Billed

2019-10

First Month

2024-07

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		7,243	6,752	$665K
90461		7,635	7,612	$287K
99214		1,847	1,713	$239K
90460		10,228	10,185	$199K
J0561	Penicillin g benzathine inj	924	903	$163K
99211		5,499	5,303	$108K
99212		1,787	1,717	$107K
99392		984	983	$107K
99391		791	791	$79K
90471		2,594	2,561	$50K
J1050	Medroxyprogesterone acetate	539	539	$47K
0004A		864	864	$35K
86580		2,854	2,845	$32K
99383		217	217	$30K
0002A		712	709	$28K
0071A		676	675	$27K
0001A		647	635	$26K
0072A		627	627	$25K
99202		212	212	$17K
59426		15	15	$15K
99393		122	122	$15K
59430		55	55	$13K
0064A		316	316	$13K
96127		2,886	2,765	$11K
96372		664	651	$10K
0124A		225	225	$9K
99384		53	53	$8K
99394		58	58	$8K
82962		2,226	2,092	$7K
90472		296	296	$6K
G0101	Ca screen;pelvic/breast exam	133	133	$6K
Q0091	Obtaining screen pap smear	122	122	$5K
83036		480	476	$5K
81025		530	527	$5K
99215	Prolong outpt/office vis	52	51	$4K
0134A		96	95	$4K
99381		25	25	$3K
81000		562	559	$2K
0031A		51	51	$2K
0003A		51	51	$2K
99382		14	14	$2K
0013A		42	42	$2K
0073A		33	33	$1K
99203		12	12	$1K
90658		62	62	$1K
A4253	Blood glucose/reagent strips	72	72	$1K
84703		132	132	$992.64
0034A		21	21	$840.00
A4211	Supp for self-adm injections	80	80	$745.20
99204		19	19	$563.85
0012A		14	14	$560.00
0011A		13	13	$520.00
96161		40	40	$115.22
92553		74	74	$103.46
A4259	Lancets per box	69	69	$97.98
99173		99	99	$62.00
85018		13	13	$30.81
85014		13	13	$30.81
90670		14	14	$0.00

Medicaid Provider Spending