INTEGRATED HEALTH COOPERATIVE, LLC.

$1.18M

Total Medicaid Paid

47,135

Total Claims

35,272

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		12,408	9,417	$470K
H0033	Oral med adm direct observe	1,055	629	$173K
H0016	Alcohol and/or drug services	705	491	$156K
99213		5,100	3,920	$139K
99396		868	684	$50K
99215	Prolong outpt/office vis	890	694	$45K
H0014	Alcohol and/or drug services	109	56	$30K
80305		2,325	1,320	$26K
92250		1,043	761	$22K
90686		1,447	1,018	$14K
99204		171	116	$9K
36415		8,433	6,456	$9K
90471		988	717	$7K
G0439	Ppps, subseq visit	127	106	$5K
99407		453	330	$4K
90688		350	294	$4K
G2211	Complex e/m visit add on	1,086	778	$3K
96156		120	96	$3K
99203		57	47	$3K
99395		34	25	$2K
82947		2,396	1,775	$1K
83037		435	360	$1K
99406		332	238	$1K
99386		16	12	$958.58
90832		41	35	$856.23
82948		538	386	$490.58
81002		537	368	$433.83
93010		64	39	$284.49
G0008	Admin influenza virus vac	163	130	$233.07
99441		18	13	$162.54
96372		52	12	$157.85
3074F		346	324	$10.00
3078F		276	262	$0.00
2025F		1,012	772	$0.00
G8417	Calc bmi abv up param f/u	554	420	$0.00
2024F		293	198	$0.00
3077F		163	154	$0.00
G8420	Calc bmi norm parameters	96	66	$0.00
3008F		761	720	$0.00
3079F		174	168	$0.00
3044F		81	63	$0.00
4000F		293	214	$0.00
2000F		391	275	$0.00
3080F		123	117	$0.00
3072F		65	65	$0.00
0001F		13	12	$0.00
3048F		53	41	$0.00
3075F		80	78	$0.00

Medicaid Provider Spending