CITIZENS MEDICAL CENTER COUNTY OF VICTORIA

$1.70M

Total Medicaid Paid

60,602

Total Claims

54,991

Beneficiaries

59

Codes Billed

2020-09

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99284		4,211	3,976	$521K
99283		9,176	8,862	$397K
99285		2,229	2,099	$199K
87502		1,292	1,247	$163K
87633		177	171	$102K
80053		7,988	7,075	$73K
85025		7,023	6,300	$44K
86328		1,185	1,156	$43K
87635		883	841	$39K
87651		336	321	$16K
71045		1,225	1,129	$11K
93005		1,236	1,157	$10K
87581		177	171	$9K
87486		177	171	$9K
74177		103	101	$6K
87798		177	171	$6K
59025		67	41	$4K
U0003	Cov-19 amp prb hgh thruput	78	75	$4K
81001		2,217	2,059	$4K
99282		81	78	$4K
J2405	Ondansetron hcl injection	770	615	$3K
96361		613	551	$3K
96374		1,035	958	$3K
70450		163	161	$3K
71046		361	353	$3K
99213		33	24	$2K
84703		586	562	$2K
96365		174	131	$2K
83735		809	624	$2K
83690		902	850	$2K
85027		912	784	$2K
96372		429	370	$2K
83880		452	419	$2K
84484		943	657	$1K
80307		51	50	$939.60
81025		86	82	$527.79
84443		292	263	$479.74
85610		499	448	$367.09
36415		8,954	7,596	$366.86
74176		12	12	$287.50
85730		270	249	$267.65
81003		353	340	$192.40
87088		69	62	$129.20
80048		122	110	$121.29
J1885	Ketorolac tromethamine inj	120	117	$81.43
96375		643	552	$69.37
84702		53	45	$63.20
83036		40	40	$57.12
86885		26	26	$52.80
J1170	Hydromorphone injection	45	25	$29.34
86901		55	52	$27.61
86900		56	54	$27.61
87077		13	12	$27.16
J0696	Ceftriaxone sodium injection	12	12	$16.83
82728		18	13	$11.45
80061		12	12	$6.89
J1100	Dexamethasone sodium phos	26	24	$0.00
Q0162	Ondansetron oral	30	25	$0.00
Q9967	Locm 300-399mg/ml iodine,1ml	525	510	$0.00

Medicaid Provider Spending