RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC

$11.67M

Total Medicaid Paid

212,892

Total Claims

61,317

Beneficiaries

37

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		38,275	4,061	$11.02M
A4657	Syringe w/wo needle	54,958	3,700	$515K
J0887	Epoetin beta esrd use	3,315	2,221	$47K
J1270	Injection, doxercalciferol	25,763	3,015	$34K
J1756	Iron sucrose injection	9,263	2,699	$28K
85018		7,154	3,607	$4K
83970		3,224	3,058	$4K
80069		1,759	1,730	$4K
84520		6,779	3,666	$4K
84100		2,937	2,340	$2K
82040		2,232	1,995	$2K
83550		3,604	3,523	$912.71
85025		3,655	3,561	$808.08
A6216	Non-sterile gauze<=16 sq in	478	49	$782.50
83540		3,695	3,611	$676.82
87340		1,637	1,594	$604.17
82728		1,672	1,636	$510.39
82310		2,250	1,936	$504.12
J1644	Inj heparin sodium per 1000u	27,016	1,485	$423.77
84155		3,684	3,591	$379.79
82108		478	460	$360.26
84132		1,872	902	$285.83
82565		1,852	1,778	$265.69
80051		1,687	1,638	$258.07
83735		1,102	1,076	$175.25
90682		25	25	$139.88
84075		1,113	1,087	$139.33
86706		388	366	$123.54
82607		154	140	$84.86
82746		246	231	$72.20
90686		46	45	$20.95
G0008	Admin influenza virus vac	105	103	$19.05
83036		238	231	$8.54
90688		26	25	$4.17
90662		55	54	$4.03
J3490	Drugs unclassified injection	104	37	$0.00
86580		51	41	$0.00

Medicaid Provider Spending