LA CLINICA DE LA RAZA INC

$4.04M

Total Medicaid Paid

61,248

Total Claims

44,751

Beneficiaries

44

Codes Billed

2018-01

First Month

2023-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	27,311	20,950	$3.33M
59425		4,765	3,478	$290K
99213		6,138	3,997	$143K
99212		9,042	4,830	$80K
H1001	Antepartum management	672	551	$53K
H1003	Prenatal at risk education	2,008	1,366	$43K
H1000	Prenatal care atrisk assessm	139	131	$23K
96156		981	708	$16K
G0442	Annual alcohol screen 15 min	583	553	$9K
97803		539	393	$9K
99401		437	363	$6K
81025		2,188	1,721	$5K
90686		336	244	$4K
59430		94	62	$4K
90715		190	120	$3K
99215	Prolong outpt/office vis	15	15	$3K
96151		185	157	$2K
S9445	Pt education noc individ	212	165	$2K
76815		110	63	$2K
97802		96	74	$2K
H2000	Comp multidisipln evaluation	153	137	$2K
99214		33	24	$2K
S9452	Nutrition class	106	93	$2K
96152		85	84	$975.56
76801		24	17	$697.95
59025		43	15	$533.52
H0049	Alcohol/drug screening	419	410	$432.00
81002		655	606	$169.07
Z6208		76	75	$0.00
Z6400		570	570	$0.00
Z6414		167	166	$0.00
Z6308		168	167	$0.00
H1002	Carecoordination prenatal	248	248	$0.00
Z6304		235	184	$0.00
Z6200		164	163	$0.00
Z6300		20	20	$0.00
99205	Prolong outpt/office vis	136	136	$0.00
Z1032		471	464	$0.00
Z6204		307	272	$0.00
Z1034		826	661	$0.00
Z6406		136	134	$0.00
90471		131	131	$0.00
Z6402		20	20	$0.00
Z1038		14	13	$0.00

Medicaid Provider Spending