MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

$12.45M

Total Medicaid Paid

232,530

Total Claims

59,072

Beneficiaries

41

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		53,893	4,267	$10.65M
J0882	Darbepoetin alfa, esrd use	4,842	1,620	$1.21M
Q4081	Epoetin alfa, 100 units esrd	1,836	192	$418K
Q5105	Inj retacrit esrd on dialysi	16,561	1,803	$172K
J1756	Iron sucrose injection	4,572	1,723	$2K
80053		3,744	3,687	$48.38
87340		748	683	$0.00
90686		178	176	$0.00
90656		23	23	$0.00
83550		3,729	3,687	$0.00
85018		9,680	3,660	$0.00
83036		712	699	$0.00
82728		1,237	1,225	$0.00
36415		16,778	4,262	$0.00
90471		289	271	$0.00
84443		309	301	$0.00
85025		3,525	3,475	$0.00
83735		1,230	1,220	$0.00
96372		19	17	$0.00
82306		594	586	$0.00
86704		294	288	$0.00
86706		504	495	$0.00
86803		666	648	$0.00
90732		21	21	$0.00
0012A		30	29	$0.00
0134A		12	12	$0.00
90480		28	28	$0.00
J1644	Inj heparin sodium per 1000u	43,180	3,160	$0.00
83540		3,730	3,688	$0.00
84100		3,994	3,688	$0.00
83970		2,296	2,264	$0.00
85014		9,682	3,661	$0.00
A4690	Dialyzer, each	36,152	2,950	$0.00
86480		282	274	$0.00
J1643	Inj heparin, pfizer, 1000u	2,458	231	$0.00
84520		4,168	3,678	$0.00
82108		265	264	$0.00
0124A		33	33	$0.00
A4640	Alternating pressure pad	194	41	$0.00
90662		14	14	$0.00
91322		28	28	$0.00

Medicaid Provider Spending