HOSPITAL SERVICE DISTRICT NO 1-A OF THE PARISH OF RICHLAND STATE OF LA

$9.00M

Total Medicaid Paid

101,281

Total Claims

77,267

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	38,838	27,755	$9.00M
99051		77	66	$972.74
99213		27,148	21,359	$171.93
3044F		409	312	$30.00
J0702	Betamethasone acet&sod phosp	3,331	2,610	$0.00
G0511	Ccm/bhi by rhc/fqhc 20min mo	1,313	1,298	$0.00
J0558	Peng benzathine/procaine inj	82	67	$0.00
99212		5,307	4,449	$0.00
1160F		1,028	820	$0.00
1159F		1,192	928	$0.00
11721		1,848	1,111	$0.00
99334		2,822	2,587	$0.00
87880		1,909	1,524	$0.00
G0127	Trim nail(s)	5,311	3,977	$0.00
99203		418	351	$0.00
99347		1,341	1,244	$0.00
99348		18	18	$0.00
99336		364	337	$0.00
11042		97	31	$0.00
3078F		704	560	$0.00
99401		78	53	$0.00
J0290	Ampicillin 500 mg inj	14	12	$0.00
69209		65	45	$0.00
3077F		35	33	$0.00
J0696	Ceftriaxone sodium injection	1,154	860	$0.00
3008F		1,198	953	$0.00
J1885	Ketorolac tromethamine inj	237	197	$0.00
1126F		743	600	$0.00
99214		641	583	$0.00
J0561	Penicillin g benzathine inj	83	77	$0.00
00000		465	221	$0.00
3074F		668	531	$0.00
G2025	Dis site tele svcs rhc/fqhc	857	544	$0.00
3048F		189	135	$0.00
J1100	Dexamethasone sodium phos	13	12	$0.00
1125F		162	136	$0.00
3075F		64	56	$0.00
3351F		595	453	$0.00
4010F		185	136	$0.00
3079F		190	159	$0.00
3049F		37	27	$0.00
99335		19	14	$0.00
3061F		32	26	$0.00

Medicaid Provider Spending