MERCY MEDICAL CENTER-NEWTON

$3.61M

Total Medicaid Paid

65,332

Total Claims

56,961

Beneficiaries

51

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		15,172	13,681	$2.20M
99285		2,028	1,773	$660K
96374		2,849	2,484	$355K
99284		486	452	$142K
71045		1,007	891	$50K
96375		1,091	936	$41K
0241U		436	405	$38K
G0463	Hospital outpt clinic visit	348	190	$30K
99281		420	407	$22K
59025		169	103	$22K
96361		190	147	$8K
74177		31	29	$8K
70450		55	52	$7K
U0001	2019-ncov diagnostic p	276	249	$7K
99282		49	49	$5K
97530		186	52	$4K
71046		43	40	$2K
76816		16	15	$2K
96365		13	12	$1K
87651		34	30	$891.41
85025		8,423	7,283	$527.40
87400		347	304	$523.20
87798		55	43	$515.67
96372		1,749	1,565	$251.39
93005		2,906	2,427	$196.22
Q3014	Telehealth facility fee	13	12	$159.99
81003		1,547	1,378	$126.47
36415		7,094	6,076	$60.93
80053		7,842	6,805	$38.61
80048		13	12	$30.99
83735		234	208	$24.54
P9604	One-way allow prorated trip	110	64	$17.87
84703		429	384	$8.83
81001		55	49	$3.72
Q9967	Locm 300-399mg/ml iodine,1ml	139	122	$0.00
80305		1,013	874	$0.00
J2405	Ondansetron hcl injection	293	248	$0.00
85610		395	355	$0.00
J1885	Ketorolac tromethamine inj	3,741	3,287	$0.00
83690		615	553	$0.00
83880		378	333	$0.00
82550		582	509	$0.00
84443		416	372	$0.00
87801		62	61	$0.00
G0480	Drug test def 1-7 classes	265	205	$0.00
82553		552	482	$0.00
84484		1,011	813	$0.00
87088		30	26	$0.00
J3010	Fentanyl citrate injection	16	12	$0.00
85730		90	88	$0.00
85379		18	14	$0.00

Medicaid Provider Spending