INTEGRIS MIAMI HOSPITAL

$7.24M

Total Medicaid Paid

78,344

Total Claims

72,449

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		25,878	25,420	$4.13M
99284		5,630	5,539	$1.25M
99285		2,231	2,205	$654K
96374		2,364	2,325	$278K
99282		1,421	1,388	$127K
97530		3,837	799	$121K
11042		607	302	$112K
96372		621	610	$44K
92507		615	175	$41K
87400		1,584	1,560	$38K
74177		237	236	$38K
87811		955	947	$34K
36415		6,310	6,075	$32K
71045		2,270	2,223	$28K
87636		181	181	$24K
87880		1,640	1,623	$23K
87635		467	462	$21K
87637		157	155	$21K
U0003	Cov-19 amp prb hgh thruput	269	265	$21K
76805		248	248	$20K
80053		2,293	2,200	$20K
96361		607	593	$20K
87804		870	860	$18K
85025		2,313	2,168	$16K
97110		493	148	$13K
96375		350	342	$13K
85027		1,923	1,897	$12K
87430		760	754	$11K
80048		1,291	1,236	$9K
71046		507	500	$8K
87070		657	650	$7K
81003		1,655	1,619	$7K
81025		823	814	$6K
81001		2,293	2,148	$6K
70450		89	89	$3K
84484		292	269	$3K
93005		537	525	$3K
83690		432	427	$3K
94640		135	132	$2K
96365		18	18	$2K
83605		147	129	$2K
87807		86	86	$990.25
93306		12	12	$950.20
87420		40	39	$472.40
83880		12	12	$419.04
84443		14	14	$209.16
82550		26	26	$144.75
97597		23	14	$139.04
Q0162	Ondansetron oral	261	258	$20.44
J1885	Ketorolac tromethamine inj	181	175	$0.55
J2360	Orphenadrine injection	39	39	$0.00
Q9967	Locm 300-399mg/ml iodine,1ml	245	245	$0.00
J7030	Normal saline solution infus	1,252	1,128	$0.00
J1200	Diphenhydramine hcl injectio	146	145	$0.00

Medicaid Provider Spending