LIVINGWATER'S MEDICAL CLINIC, INC.

$85K

Total Medicaid Paid

42,270

Total Claims

40,611

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		12,005	11,113	$13K
90732		141	140	$12K
90688		984	977	$12K
99214		4,833	4,660	$9K
90756		402	400	$8K
92552		674	670	$8K
90715		199	197	$7K
99454		195	192	$3K
99385		752	751	$2K
90658		120	120	$2K
90674		102	102	$2K
99211		874	819	$1K
99458		161	157	$1K
99457		187	183	$989.65
99204		69	69	$841.09
G8510	Scr dep neg, no plan reqd	2,533	2,508	$741.50
99395		426	422	$631.60
G8431	Pos clin depres scrn f/u doc	753	753	$317.00
96372		178	176	$263.87
G2012	Brief check in by md/qhp	475	443	$193.35
96156		321	321	$84.30
99386		206	206	$76.00
99212		127	125	$57.21
99442		18	16	$54.88
87110		412	412	$53.07
99453		27	24	$50.16
90471		580	553	$33.36
99422		259	255	$22.74
99441		82	76	$5.94
3078F		1,910	1,808	$0.00
99173		100	100	$0.00
G9920	Scrning perf and negative	827	826	$0.00
99396		594	591	$0.00
3077F		667	638	$0.00
99421		14	14	$0.00
G0444	Depression screen annual	28	28	$0.00
99397		15	15	$0.00
3079F		1,631	1,567	$0.00
3075F		984	948	$0.00
3353F		299	298	$0.00
H0049	Alcohol/drug screening	1,594	1,593	$0.00
1220F		445	445	$0.00
3351F		740	739	$0.00
3074F		2,509	2,369	$0.00
1111F		445	445	$0.00
99406		17	17	$0.00
3352F		345	344	$0.00
3080F		672	649	$0.00
G0008	Admin influenza virus vac	257	257	$0.00
99384		27	26	$0.00
96110		17	16	$0.00
1036F		26	26	$0.00
99383		12	12	$0.00

Medicaid Provider Spending