ST. JOSEPH'S MEDICAL CENTER

$3.25M

Total Medicaid Paid

91,256

Total Claims

80,642

Beneficiaries

63

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		33,665	29,635	$1.52M
99213		22,443	20,222	$659K
99215	Prolong outpt/office vis	3,173	2,724	$225K
99244		2,131	2,056	$185K
99204		1,667	1,588	$112K
99203		2,447	2,330	$100K
99309		977	757	$59K
99243		1,080	1,043	$58K
93010		12,610	10,489	$52K
93306		1,035	1,005	$48K
99349		338	320	$26K
90836		443	388	$25K
99212		1,280	1,181	$19K
99443		442	363	$18K
99442		545	492	$17K
V5261	Hearing aid, digit, bin, bte	15	13	$12K
99607		307	275	$11K
99205	Prolong outpt/office vis	88	88	$10K
99348		220	208	$10K
99605		218	204	$10K
95886		168	151	$7K
99232		183	73	$6K
11721		452	428	$6K
90471		418	404	$5K
99335		106	95	$4K
99396		66	62	$4K
99310	Prolong nursin fac eval 15m	30	25	$4K
36415		1,553	1,140	$3K
G2211	Complex e/m visit add on	453	419	$3K
V5266	Battery for hearing device	253	224	$3K
99308		95	70	$3K
99336		45	41	$3K
V5160	Dispensing fee binaural	15	13	$2K
99350	Prolong home eval add 15m	16	14	$2K
90460		103	90	$2K
95251		105	103	$2K
94060		232	219	$2K
43239		24	24	$2K
G0500	Mod sedat endo service >5yrs	653	629	$2K
94726		174	165	$2K
99394		33	31	$1K
94729		166	157	$1K
11042		21	12	$861.03
99395		12	12	$841.00
99202		15	13	$388.70
99606		15	12	$351.50
90480		14	14	$345.78
90461		29	24	$338.49
99441		13	12	$230.13
80048		113	103	$149.34
96127		34	30	$79.81
99393		13	12	$60.09
90662		13	13	$50.45
90686		249	247	$42.96
90656		17	17	$23.47
G0008	Admin influenza virus vac	13	13	$20.81
85610		82	25	$0.00
99242		12	12	$0.00
90715		61	56	$0.00
99173		16	14	$0.00
90651		14	12	$0.00
93016		13	13	$0.00
92551		20	18	$0.00

Medicaid Provider Spending