INTERNAL MEDICINE DIAGNOSTIC CENTER

$341K

Total Medicaid Paid

14,978

Total Claims

12,881

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		4,103	3,526	$122K
99091		511	488	$85K
99214		1,866	1,741	$84K
99232		1,451	348	$17K
99000		1,475	1,355	$15K
99396		116	111	$8K
99203		115	113	$6K
99238		116	110	$2K
99217		12	12	$359.31
99221		12	12	$234.88
99223	Prolong inpt eval add15 m	16	16	$117.74
3044F		202	196	$20.00
96160		150	144	$5.83
G8483	Flu imm no admin doc rea	142	140	$0.00
3078F		296	283	$0.00
1090F		418	410	$0.00
G8417	Calc bmi abv up param f/u	142	140	$0.00
0518F		209	203	$0.00
1159F		192	188	$0.00
1160F		201	196	$0.00
3016F		116	112	$0.00
G0444	Depression screen annual	56	55	$0.00
1158F		121	116	$0.00
3725F		67	67	$0.00
G8783	Bp scrn perf rec interval	185	180	$0.00
G2211	Complex e/m visit add on	14	13	$0.00
3015F		12	12	$0.00
G8482	Flu immunize order/admin	27	25	$0.00
G8752	Sys bp less 140	52	51	$0.00
1101F		317	311	$0.00
1030F		197	193	$0.00
3079F		65	63	$0.00
1036F		199	196	$0.00
3072F		123	121	$0.00
3017F		188	183	$0.00
G0442	Annual alcohol screen 15 min	58	57	$0.00
3061F		104	102	$0.00
36415		276	263	$0.00
3074F		281	272	$0.00
1170F		287	282	$0.00
1022F		127	125	$0.00
G8754	Dias bp less 90	62	61	$0.00
G8599	No asa/antiplat ther use rng	152	148	$0.00
G8420	Calc bmi norm parameters	56	55	$0.00
1111F		30	27	$0.00
1126F		25	25	$0.00
3075F		36	34	$0.00

Medicaid Provider Spending