1124417357

$76.74M

Total Medicaid Paid

1,784,652

Total Claims

1,381,586

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
U0003	Cov-19 amp prb hgh thruput	1,178,774	898,159	$67.78M
U0005	Infec agen detec ampli probe	582,974	467,764	$8.57M
87636		1,238	1,156	$110K
G0482	Drug test def 15-21 classes	1,118	916	$59K
87635		1,329	1,208	$47K
80307		1,086	845	$40K
G0480	Drug test def 1-7 classes	360	332	$39K
G0481	Drug test def 8-14 classes	316	269	$33K
87521	Neg quan hep c or qual rna	1,215	1,085	$11K
87798		5,558	808	$10K
87661		1,751	1,490	$6K
87491		1,585	1,367	$5K
87801		540	459	$5K
80325		121	114	$4K
87529		783	336	$3K
80348		122	112	$2K
80321		71	63	$2K
87507		139	139	$2K
87591		1,560	1,351	$1K
87632		589	565	$1K
80346		123	115	$926.65
80361		127	118	$907.35
80353		131	122	$897.45
80358		124	116	$839.55
80359		125	116	$829.90
80356		124	115	$829.90
80354		124	115	$820.25
80365		122	117	$810.85
80355		108	98	$798.95
80366		97	92	$665.85
87481		440	396	$616.96
80362		75	71	$569.35
80323		20	16	$552.00
80369		83	80	$511.45
87651		130	122	$428.09
80373		57	56	$357.05
87581		56	53	$349.14
86704		68	67	$335.85
86706		68	67	$299.48
G0483	Drug test def 22+ classes	99	63	$246.92
87340		64	63	$234.53
87511		708	621	$211.56
87653		55	54	$176.82
87502		38	34	$129.33
87503		37	33	$39.45
84228		63	33	$0.00
82415		47	19	$0.00
82542		63	33	$0.00
99080		47	43	$0.00

Medicaid Provider Spending