SHIFA PSC

$1.97M

Total Medicaid Paid

87,051

Total Claims

69,195

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		24,839	18,208	$923K
99214		8,858	7,100	$201K
99205	Prolong outpt/office vis	835	737	$96K
99396		1,134	1,037	$90K
87811		2,925	2,457	$90K
99407		4,190	3,766	$62K
87502		1,022	877	$59K
99490	Ccm add 20min	6,684	5,607	$50K
93000		3,842	3,195	$48K
87804		4,022	1,872	$46K
99215	Prolong outpt/office vis	1,707	1,376	$39K
99395		466	437	$31K
87880		2,520	2,243	$26K
94010		1,252	1,123	$23K
76942		476	342	$18K
87651		624	523	$16K
80305		2,212	1,919	$15K
93925		221	187	$14K
96372		1,589	1,249	$14K
93922		452	386	$13K
76705		361	319	$12K
90756		743	697	$11K
93306		87	77	$10K
76770		256	210	$9K
90471		500	472	$8K
83036		1,615	1,457	$8K
93880		73	62	$7K
92567		680	610	$7K
82570		1,763	1,560	$6K
20552		268	208	$4K
G0444	Depression screen annual	881	785	$4K
20553		161	105	$3K
G0439	Ppps, subseq visit	258	206	$2K
81002		3,341	2,846	$2K
76700		39	30	$2K
93970		20	16	$2K
J3420	Vitamin b12 injection	1,554	1,230	$1K
99497		147	117	$1K
87634		19	15	$1K
99204		13	13	$1K
99203		18	12	$750.97
76536		13	13	$460.79
G0447	Behavior counsel obesity 15m	413	305	$156.21
G0008	Admin influenza virus vac	95	84	$45.00
G0442	Annual alcohol screen 15 min	33	29	$37.16
G0446	Intens behave ther cardio dx	51	43	$22.50
3044F		30	28	$0.08
3074F		1,420	1,095	$0.00
3075F		222	188	$0.00
3079F		641	538	$0.00
3080F		227	181	$0.00
3078F		983	792	$0.00
3077F		256	211	$0.00

Medicaid Provider Spending