EDWARD W SPARROW HOSPITAL ASSOCIATION

$2.31M

Total Medicaid Paid

67,125

Total Claims

57,912

Beneficiaries

55

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
59426		838	835	$672K
59409		558	554	$418K
99213		6,152	5,721	$228K
99214		3,201	3,091	$173K
59430		934	931	$151K
76816		2,435	2,169	$100K
76817		2,446	2,289	$87K
99395		1,263	1,256	$81K
59025		3,968	1,699	$78K
59400		32	32	$72K
76830		1,242	1,229	$46K
76805		825	823	$32K
59514		28	26	$23K
76815		865	595	$22K
J1050	Medroxyprogesterone acetate	265	259	$21K
54150		267	265	$15K
76811		147	147	$15K
J7298	Mirena, 52 mg	14	14	$14K
90715		420	411	$13K
99203		158	153	$8K
96372		740	544	$7K
81025		776	752	$5K
99204		61	61	$5K
90471		682	670	$5K
76819		170	95	$4K
58300		124	120	$4K
90686		206	205	$4K
87210		742	687	$3K
76801		88	84	$3K
99212		117	114	$3K
99459		322	318	$1K
76820		66	35	$954.36
83986		577	551	$623.70
81002		228	218	$514.86
96127		16	13	$39.21
0502F		6,473	3,794	$0.09
G8427	Docrev cur meds by elig clin	7,053	6,574	$0.00
G8484	Flu immunize no admin	2,802	2,604	$0.00
4004F		1,168	1,072	$0.00
G8417	Calc bmi abv up param f/u	1,216	1,122	$0.00
3078F		3,459	3,051	$0.00
G8938	Bmi doc onl fup nt doc	794	716	$0.00
G8482	Flu immunize order/admin	756	698	$0.00
G8752	Sys bp less 140	24	24	$0.00
1036F		6,091	5,670	$0.00
3074F		4,144	3,619	$0.00
G8428	Cur meds not document	13	13	$0.00
G8420	Calc bmi norm parameters	796	727	$0.00
3079F		883	817	$0.00
G8419	Calc bmi out nrm param nof/u	328	302	$0.00
3075F		56	49	$0.00
0501F		53	53	$0.00
0503F		14	12	$0.00
0500F		16	16	$0.00
G8754	Dias bp less 90	13	13	$0.00

Medicaid Provider Spending